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 $2,686.89 / $3,726.83 / $6,561.55	Professional		$2,686.89	$3,726.83	$6,561.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,769.98 / $4,614.96 / $5,152.31	Professional		$3,769.98	$4,614.96	$5,152.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,193.86 / $4,778.12 / $6,955.24	Facility		$3,193.86	$4,778.12	$6,955.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,553.67 / $4,553.67 / $5,519.60	Professional		$4,553.67	$4,553.67	$5,519.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,719.47 / $4,679.34	Professional		$32.34	$3,719.47	$4,679.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,692.58 / $5,692.58 / $6,310.86	Professional		$5,692.58	$5,692.58	$6,310.86
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 $2,347.26 / $3,345.22 / $5,514.15	Professional		$2,347.26	$3,345.22	$5,514.15