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 $1,774.62 / $2,449.88 / $5,203.41	Professional		$1,774.62	$2,449.88	$5,203.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,758.07 / $2,771.61 / $3,394.44	Professional		$1,758.07	$2,771.61	$3,394.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.26 / $3,135.85 / $5,515.61	Facility		$1,787.26	$3,135.85	$5,515.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,918.90 / $3,095.80 / $3,538.06	Professional		$2,918.90	$3,095.80	$3,538.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,772.70	Professional		$32.34	$32.34	$2,772.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,081.90 / $3,606.64 / $3,667.31	Professional		$3,081.90	$3,606.64	$3,667.31
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 $1,573.96 / $2,432.94 / $3,924.22	Professional		$1,573.96	$2,432.94	$3,924.22