Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.19 / $593.80 / $914.35	Professional		$457.19	$593.80	$914.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,674.04 / $1,674.04 / $1,678.74	Facility		$1,674.04	$1,674.04	$1,678.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.73 / $675.00 / $808.96	Professional		$495.73	$675.00	$808.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.69 / $882.61 / $1,106.35	Facility		$422.69	$882.61	$1,106.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $716.25 / $781.36 / $1,048.04	Professional		$716.25	$781.36	$1,048.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $616.78 / $775.94	Professional		$32.34	$616.78	$775.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,582.86 / $9,755.03	Facility		$5,040.66	$7,582.86	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $761.97 / $896.44 / $1,048.04	Professional		$761.97	$896.44	$1,048.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $5,550.00 / $12,233.00	Facility		$1,350.00	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.74 / $672.31 / $977.82	Professional		$479.74	$672.31	$977.82