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 $2,877.29 / $3,032.12 / $5,430.18	Professional		$2,877.29	$3,032.12	$5,430.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,107.16 / $3,803.58 / $4,246.46	Professional		$3,107.16	$3,803.58	$4,246.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,877.29 / $4,122.55 / $5,755.99	Facility		$2,877.29	$4,122.55	$5,755.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,847.57 / $4,080.76 / $4,663.72	Professional		$3,847.57	$4,080.76	$4,663.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,124.21 / $3,930.46	Professional		$32.34	$3,124.21	$3,930.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,784.14 / $4,784.14 / $5,248.79	Professional		$4,784.14	$4,784.14	$5,248.79
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 $2,463.12 / $3,421.18 / $5,051.93	Professional		$2,463.12	$3,421.18	$5,051.93