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 $3,114.43 / $3,281.74 / $5,869.95	Professional		$3,114.43	$3,281.74	$5,869.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,362.16 / $4,115.74 / $4,594.96	Professional		$3,362.16	$4,115.74	$4,594.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,114.43 / $4,456.14 / $6,222.15	Facility		$3,114.43	$4,456.14	$6,222.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,160.85 / $4,413.03 / $5,043.46	Professional		$4,160.85	$4,413.03	$5,043.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,378.88 / $4,250.84	Professional		$32.34	$3,378.88	$4,250.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,174.71 / $5,174.71 / $5,674.88	Professional		$5,174.71	$5,174.71	$5,674.88
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 $2,668.47 / $3,498.77 / $5,484.24	Professional		$2,668.47	$3,498.77	$5,484.24