Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.72 / $922.72 / $1,463.17	Professional		$711.72	$922.72	$1,463.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.21 / $1,089.39 / $1,255.21	Professional		$755.21	$1,089.39	$1,255.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $680.02 / $1,245.35 / $1,682.65	Facility		$680.02	$1,245.35	$1,682.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.36 / $1,284.41 / $1,680.10	Professional		$1,177.36	$1,284.41	$1,680.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,004.60 / $1,263.84	Professional		$32.34	$1,004.60	$1,263.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,480.35 / $9,397.43 / $15,505.75	Facility		$7,480.35	$9,397.43	$15,505.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,238.99 / $1,457.64 / $1,680.10	Professional		$1,238.99	$1,457.64	$1,680.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $11,800.00 / $29,092.00	Facility		$2,600.00	$11,800.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.48 / $1,029.79 / $1,458.22	Professional		$699.48	$1,029.79	$1,458.22