Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.79 / $932.32 / $1,266.77	Professional		$604.79	$932.32	$1,266.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.98 / $1,044.31 / $1,348.14	Professional		$539.98	$1,044.31	$1,348.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.25 / $1,011.88 / $1,393.97	Facility		$613.25	$1,011.88	$1,393.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.71 / $1,318.44 / $1,638.68	Professional		$1,087.71	$1,318.44	$1,638.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,309.59	Professional		$32.34	$32.34	$1,309.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,327.80 / $4,747.49 / $5,755.74	Facility		$3,327.80	$4,747.49	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,035.79 / $1,246.11 / $1,557.68	Professional		$1,035.79	$1,246.11	$1,557.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,071.84 / $1,412.89	Professional		$852.60	$1,071.84	$1,412.89