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 $1,096.30 / $1,749.60 / $1,897.13	Professional		$1,096.30	$1,749.60	$1,897.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.80 / $1,729.46 / $2,207.03	Professional		$832.80	$1,729.46	$2,207.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $931.86 / $1,623.10 / $2,162.73	Facility		$931.86	$1,623.10	$2,162.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,081.40 / $8,854.77 / $10,870.07	Facility		$4,081.40	$8,854.77	$10,870.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,649.97 / $1,941.14 / $2,570.88	Professional		$1,649.97	$1,941.14	$2,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.48 / $1,606.88 / $2,191.19	Professional		$1,208.48	$1,606.88	$2,191.19