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 $1,317.70 / $1,341.28 / $2,341.36	Professional		$1,317.70	$1,341.28	$2,341.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,448.39 / $1,773.03 / $1,979.47	Professional		$1,448.39	$1,773.03	$1,979.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,170.98 / $2,052.42 / $2,481.84	Facility		$1,170.98	$2,052.42	$2,481.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.32 / $1,751.40 / $2,001.60	Professional		$1,651.32	$1,751.40	$2,001.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,444.46 / $1,817.22	Professional		$32.34	$1,444.46	$1,817.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,571.84 / $1,571.84 / $1,932.00	Professional		$1,571.84	$1,571.84	$1,932.00
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 $1,076.55 / $1,406.68 / $2,207.41	Professional		$1,076.55	$1,406.68	$2,207.41