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 $1,157.78 / $1,241.04 / $1,848.69	Professional		$1,157.78	$1,241.04	$1,848.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,483.84 / $1,816.42 / $2,027.92	Professional		$1,483.84	$1,816.42	$2,027.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.39 / $1,848.69 / $2,139.41	Facility		$1,226.39	$1,848.69	$2,139.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,699.90 / $1,699.90 / $2,060.48	Professional		$1,699.90	$1,699.90	$2,060.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,466.15 / $1,844.51	Professional		$32.34	$1,466.15	$1,844.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,633.73 / $1,633.73 / $1,991.79	Professional		$1,633.73	$1,633.73	$1,991.79
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.67 / $1,446.70 / $2,181.12	Professional		$1,108.67	$1,446.70	$2,181.12