Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.32 / $1,461.94 / $2,606.90	Professional		$1,389.32	$1,461.94	$2,606.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.51 / $1,823.35 / $2,035.66	Professional		$1,489.51	$1,823.35	$2,035.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,389.32 / $1,969.56 / $2,763.31	Facility		$1,389.32	$1,969.56	$2,763.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.54 / $1,912.56 / $2,245.50	Professional		$1,852.54	$1,912.56	$2,245.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,703.36 / $1,898.03	Professional		$32.34	$1,703.36	$1,898.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,453.10 / $4,867.04 / $5,994.73	Facility		$3,453.10	$4,867.04	$5,994.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,298.76 / $2,298.76 / $2,524.91	Professional		$2,298.76	$2,298.76	$2,524.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,905.54 / $5,550.00 / $12,233.00	Facility		$3,905.54	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.10 / $1,513.41 / $2,401.30	Professional		$1,171.10	$1,513.41	$2,401.30