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 $1,752.30 / $2,419.81 / $5,136.57	Professional		$1,752.30	$2,419.81	$5,136.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.07 / $2,733.79 / $3,352.42	Professional		$1,674.07	$2,733.79	$3,352.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,722.46 / $3,097.36 / $5,444.76	Facility		$1,722.46	$3,097.36	$5,444.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,878.34 / $3,052.79 / $3,488.90	Professional		$2,878.34	$3,052.79	$3,488.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,421.80 / $3,046.78	Professional		$32.34	$2,421.80	$3,046.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,039.97 / $3,559.37 / $3,619.24	Professional		$3,039.97	$3,559.37	$3,619.24
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 $1,839.21 / $2,565.63 / $3,935.19	Professional		$1,839.21	$2,565.63	$3,935.19