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 $612.61 / $788.57 / $1,244.34	Professional		$612.61	$788.57	$1,244.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,044.64 / $6,044.64 / $6,061.63	Facility		$6,044.64	$6,044.64	$6,061.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.32 / $897.98 / $1,066.34	Professional		$641.32	$897.98	$1,066.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.98 / $1,021.38 / $1,431.00	Facility		$572.98	$1,021.38	$1,431.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.53 / $1,096.94 / $1,429.76	Professional		$1,005.53	$1,096.94	$1,429.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $857.68 / $1,079.01	Professional		$32.34	$857.68	$1,079.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,259.78 / $17,361.59 / $22,059.79	Facility		$12,259.78	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,056.57 / $1,243.02 / $1,429.76	Professional		$1,056.57	$1,243.02	$1,429.76
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 $538.05 / $841.92 / $1,227.80	Professional		$538.05	$841.92	$1,227.80