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 $1,339.78 / $1,861.41 / $3,927.76	Professional		$1,339.78	$1,861.41	$3,927.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.18 / $2,078.50 / $2,563.48	Professional		$1,317.18	$2,078.50	$2,563.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.87 / $2,382.60 / $4,163.43	Facility		$1,331.87	$2,382.60	$4,163.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,197.85 / $2,331.05 / $2,664.06	Professional		$2,197.85	$2,331.05	$2,664.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,850.53 / $2,328.09	Professional		$32.34	$1,850.53	$2,328.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,323.88 / $2,721.12 / $2,766.90	Professional		$2,323.88	$2,721.12	$2,766.90
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 $1,433.16 / $1,884.48 / $2,953.35	Professional		$1,433.16	$1,884.48	$2,953.35