Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.26 / $917.55 / $1,067.20	Professional		$613.26	$917.55	$1,067.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.37 / $948.44 / $1,132.26	Professional		$481.37	$948.44	$1,132.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.22 / $930.38 / $1,174.46	Facility		$559.22	$930.38	$1,174.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.81 / $1,168.69 / $1,375.38	Professional		$1,033.81	$1,168.69	$1,375.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,081.17	Professional		$32.34	$32.34	$1,081.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,306.03 / $4,697.79 / $5,755.74	Facility		$3,306.03	$4,697.79	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $975.98 / $1,085.91 / $1,294.41	Professional		$975.98	$1,085.91	$1,294.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.95 / $913.50 / $1,218.00	Professional		$712.95	$913.50	$1,218.00