Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,775.70 / $2,505.78 / $5,380.17	Professional		$1,775.70	$2,505.78	$5,380.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,874.18 / $2,830.80 / $3,524.34	Professional		$1,874.18	$2,830.80	$3,524.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,972.17 / $3,207.40 / $5,702.98	Facility		$1,972.17	$3,207.40	$5,702.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.74 / $3,059.58 / $3,496.66	Professional		$2,884.74	$3,059.58	$3,496.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,513.46 / $3,162.10	Professional		$32.34	$2,513.46	$3,162.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,049.60 / $3,587.77 / $3,633.41	Professional		$3,049.60	$3,587.77	$3,633.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,971.06 / $2,648.16 / $4,027.40	Professional		$1,971.06	$2,648.16	$4,027.40