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 $1,583.37 / $1,847.39 / $4,194.60	Professional		$1,583.37	$1,847.39	$4,194.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,913.13 / $2,341.92 / $2,614.62	Professional		$1,913.13	$2,341.92	$2,614.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.64 / $5,369.09	Facility		$1,348.96	$2,290.64	$5,369.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,258.16 / $2,508.48 / $2,737.16	Professional		$2,258.16	$2,508.48	$2,737.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,391.34	Professional		$32.34	$32.34	$2,391.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,555.37 / $2,804.63 / $2,836.75	Professional		$2,555.37	$2,804.63	$2,836.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $17,585.00 / $18,758.00	Facility		$5,550.00	$17,585.00	$18,758.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,433.16 / $1,791.46 / $2,986.94	Professional		$1,433.16	$1,791.46	$2,986.94