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 $702.42 / $961.10 / $1,407.34	Professional		$702.42	$961.10	$1,407.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,895.78 / $1,895.78 / $1,901.11	Facility		$1,895.78	$1,895.78	$1,901.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.19 / $1,047.26 / $1,205.81	Professional		$774.19	$1,047.26	$1,205.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.87 / $1,269.76 / $1,629.63	Facility		$672.87	$1,269.76	$1,629.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.29 / $1,239.58 / $1,617.75	Professional		$1,136.29	$1,239.58	$1,617.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $968.91 / $1,093.93	Professional		$32.34	$968.91	$1,093.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,834.98 / $7,849.65 / $9,927.16	Facility		$5,834.98	$7,849.65	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,193.67 / $1,404.32 / $1,617.75	Professional		$1,193.67	$1,404.32	$1,617.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $6,489.22 / $17,870.00	Facility		$1,500.00	$6,489.22	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $738.72 / $1,024.93 / $1,458.55	Professional		$738.72	$1,024.93	$1,458.55