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 $178.65 / $328.39 / $669.22	Professional		$178.65	$328.39	$669.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.56 / $250.86 / $476.53	Professional		$183.56	$250.86	$476.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.65 / $344.81 / $669.22	Facility		$178.65	$344.81	$669.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $292.72 / $522.72	Professional		$214.55	$292.72	$522.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $466.17	Professional		$30.00	$78.00	$466.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $736.08 / $1,026.58 / $1,257.76	Facility		$736.08	$1,026.58	$1,257.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $270.52 / $548.53	Professional		$250.20	$270.52	$548.53
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 $228.95 / $347.00 / $586.82	Professional		$228.95	$347.00	$586.82