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 $714.57 / $1,043.13 / $1,448.59	Professional		$714.57	$1,043.13	$1,448.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.06 / $1,050.75 / $1,247.77	Professional		$788.06	$1,050.75	$1,247.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $667.59 / $1,262.34 / $1,738.31	Facility		$667.59	$1,262.34	$1,738.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.60 / $1,219.21 / $1,642.34	Professional		$1,117.60	$1,219.21	$1,642.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $972.69 / $1,223.70	Professional		$32.34	$972.69	$1,223.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,072.74 / $7,629.08 / $12,587.97	Facility		$6,072.74	$7,629.08	$12,587.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,176.67 / $1,384.32 / $1,642.34	Professional		$1,176.67	$1,384.32	$1,642.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $10,120.00 / $27,159.00	Facility		$2,100.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.95 / $1,055.75 / $1,474.07	Professional		$756.95	$1,055.75	$1,474.07