Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $367.06 / $794.89	Professional		$144.27	$367.06	$794.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.60 / $276.89 / $534.02	Professional		$202.60	$276.89	$534.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.10 / $385.41 / $794.89	Facility		$175.10	$385.41	$794.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $340.55 / $608.12	Professional		$242.30	$340.55	$608.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $540.33	Professional		$30.00	$78.00	$540.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $877.58 / $1,243.46 / $1,667.05	Facility		$877.58	$1,243.46	$1,667.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $282.76 / $308.49 / $645.84	Professional		$282.76	$308.49	$645.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.22 / $375.30 / $597.87	Professional		$277.22	$375.30	$597.87