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 $1,887.36 / $1,987.04 / $3,551.92	Professional		$1,887.36	$1,987.04	$3,551.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,028.27 / $2,482.88 / $2,771.97	Professional		$2,028.27	$2,482.88	$2,771.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,887.36 / $2,686.20 / $3,765.04	Facility		$1,887.36	$2,686.20	$3,765.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,518.08 / $2,665.26 / $3,052.22	Professional		$2,518.08	$2,665.26	$3,052.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,049.26 / $2,578.10	Professional		$32.34	$2,049.26	$2,578.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,130.55 / $3,130.55 / $3,436.09	Professional		$3,130.55	$3,130.55	$3,436.09
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 $1,598.05 / $2,230.80 / $3,276.72	Professional		$1,598.05	$2,230.80	$3,276.72