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 $2,813.63 / $5,308.51 / $6,317.12	Professional		$2,813.63	$5,308.51	$6,317.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,037.63 / $3,718.46 / $4,151.43	Professional		$3,037.63	$3,718.46	$4,151.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,813.63 / $4,031.54 / $5,627.02	Facility		$2,813.63	$4,031.54	$5,627.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,763.24 / $3,991.31 / $4,561.50	Professional		$3,763.24	$3,991.31	$4,561.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,055.79 / $3,844.39	Professional		$32.34	$3,055.79	$3,844.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,680.16 / $4,680.16 / $5,133.22	Professional		$4,680.16	$4,680.16	$5,133.22
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 $2,267.46 / $3,345.71 / $4,937.47	Professional		$2,267.46	$3,345.71	$4,937.47