Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.71 / $1,478.04 / $2,231.77	Professional		$1,112.71	$1,478.04	$2,231.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.51 / $1,611.89 / $1,914.13	Professional		$1,194.51	$1,611.89	$1,914.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.17 / $1,824.59 / $2,583.25	Facility		$1,012.17	$1,824.59	$2,583.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.09 / $1,952.82 / $2,559.38	Professional		$1,790.09	$1,952.82	$2,559.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,527.59 / $1,921.80	Professional		$32.34	$1,527.59	$1,921.80
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 $1,884.83 / $2,217.44 / $2,559.38	Professional		$1,884.83	$2,217.44	$2,559.38
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 $1,140.35 / $1,665.79 / $2,238.64	Professional		$1,140.35	$1,665.79	$2,238.64