Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $185.20 / $301.87	Professional		$115.88	$185.20	$301.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $209.68 / $323.36	Professional		$125.45	$209.68	$323.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.89 / $194.46 / $319.98	Facility		$122.89	$194.46	$319.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $247.38 / $382.34	Professional		$196.94	$247.38	$382.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $306.93	Professional		$32.34	$32.34	$306.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,268.32 / $1,771.69 / $2,164.31	Facility		$1,268.32	$1,771.69	$2,164.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.23 / $246.49 / $369.43	Professional		$188.23	$246.49	$369.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $252.45 / $337.36	Professional		$194.25	$252.45	$337.36