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 $3,243.10 / $3,396.09 / $5,964.03	Professional		$3,243.10	$3,396.09	$5,964.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,395.93 / $4,113.32 / $4,641.10	Professional		$3,395.93	$4,113.32	$4,641.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,377.41 / $4,151.17 / $6,321.87	Facility		$2,377.41	$4,151.17	$6,321.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,076.00 / $4,076.00 / $4,940.60	Professional		$4,076.00	$4,076.00	$4,940.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,349.98 / $4,214.50	Professional		$32.34	$3,349.98	$4,214.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,118.05 / $5,118.05 / $5,718.81	Professional		$5,118.05	$5,118.05	$5,718.81
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 $2,421.82 / $3,222.00 / $5,233.05	Professional		$2,421.82	$3,222.00	$5,233.05