Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,099.74 / $17,996.34 / $31,860.93	Facility		$3,099.74	$17,996.34	$31,860.93
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $8,315.36 / $8,315.36 / $8,315.36	Facility	22	$8,315.36	$8,315.36	$8,315.36
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $5,703.07 / $5,703.07 / $5,703.07	Facility	AS	$5,703.07	$5,703.07	$5,703.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.11 / $1,775.58 / $3,200.00	Professional		$1,257.11	$1,775.58	$3,200.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $188.64 / $312.26 / $911.08	Professional	AS	$188.64	$312.26	$911.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,343.57 / $11,343.57 / $11,375.46	Facility		$11,343.57	$11,343.57	$11,375.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,446.48 / $1,944.12 / $2,421.41	Professional		$1,446.48	$1,944.12	$2,421.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.88 / $2,604.83 / $3,419.32	Facility		$1,245.88	$2,604.83	$3,419.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,077.76 / $2,266.65 / $2,978.26	Professional		$2,077.76	$2,266.65	$2,978.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,773.25 / $2,230.86	Professional		$32.34	$1,773.25	$2,230.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,725.34 / $34,178.19 / $43,515.35	Facility		$23,725.34	$34,178.19	$43,515.35
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $35,588.01 / $52,855.34 / $65,273.03	Facility	50	$35,588.01	$52,855.34	$65,273.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,188.48 / $2,574.69 / $2,978.26	Professional		$2,188.48	$2,574.69	$2,978.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $12,000.00 / $45,126.00	Facility		$4,800.00	$12,000.00	$45,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,489.97 / $2,047.30 / $2,943.18	Professional		$1,489.97	$2,047.30	$2,943.18