Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.02 / $624.94 / $1,005.16	Professional		$421.02	$624.94	$1,005.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.37 / $1,006.37 / $1,009.20	Facility		$1,006.37	$1,006.37	$1,009.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.85 / $693.96 / $843.54	Professional		$489.85	$693.96	$843.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.22 / $788.15 / $1,133.03	Facility		$445.22	$788.15	$1,133.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $748.28 / $861.65 / $1,055.16	Professional		$748.28	$861.65	$1,055.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $704.75 / $886.63	Professional		$32.34	$704.75	$886.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,847.32 / $3,860.69 / $4,869.63	Facility		$1,847.32	$3,860.69	$4,869.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $785.20 / $924.79 / $1,055.16	Professional		$785.20	$924.79	$1,055.16
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,620.00 / $4,441.00	Facility		$450.00	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $722.27 / $1,027.84	Professional		$495.00	$722.27	$1,027.84