Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.49 / $956.78 / $1,404.21	Professional		$691.49	$956.78	$1,404.21
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 $775.90 / $1,014.00 / $1,203.09	Professional		$775.90	$1,014.00	$1,203.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.66 / $1,169.25 / $1,623.02	Facility		$647.66	$1,169.25	$1,623.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.82 / $1,240.16 / $1,616.35	Professional		$1,136.82	$1,240.16	$1,616.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $969.39 / $1,219.55	Professional		$32.34	$969.39	$1,219.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,828.41 / $3,860.69 / $4,869.63	Facility		$1,828.41	$3,860.69	$4,869.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,018.25 / $1,403.65 / $1,616.34	Professional		$1,018.25	$1,403.65	$1,616.34
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.83 / $1,022.88 / $1,466.69	Professional		$736.83	$1,022.88	$1,466.69