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 $698.50 / $2,097.01 / $2,389.88	Professional		$698.50	$2,097.01	$2,389.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,214.76 / $4,214.76 / $4,226.60	Facility		$4,214.76	$4,214.76	$4,226.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.89 / $2,097.01 / $2,998.72	Facility		$288.89	$2,097.01	$2,998.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.92 / $346.92 / $5,410.06	Professional		$346.92	$346.92	$5,410.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,051.94 / $3,500.00	Professional		$30.00	$2,051.94	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,138.70 / $17,361.59 / $22,059.79	Facility		$8,138.70	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,539.79 / $2,987.99 / $3,396.02	Professional		$2,539.79	$2,987.99	$3,396.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $9,360.00 / $17,870.00	Facility		$1,500.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.28 / $2,292.14 / $4,041.43	Professional		$824.28	$2,292.14	$4,041.43