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 $1,317.42 / $1,827.25 / $3,864.10	Professional		$1,317.42	$1,827.25	$3,864.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.69 / $2,047.86 / $2,521.08	Professional		$1,202.69	$2,047.86	$2,521.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.05 / $2,338.88 / $4,095.95	Facility		$1,296.05	$2,338.88	$4,095.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,169.57 / $2,301.06 / $2,629.78	Professional		$2,169.57	$2,301.06	$2,629.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,826.26 / $2,297.55	Professional		$32.34	$1,826.26	$2,297.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.46 / $2,679.18 / $2,724.25	Professional		$2,290.46	$2,679.18	$2,724.25
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 $1,275.83 / $1,800.44 / $2,906.72	Professional		$1,275.83	$1,800.44	$2,906.72