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 $413.71 / $1,142.09 / $3,865.02	Professional		$413.71	$1,142.09	$3,865.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.19 / $712.29 / $2,252.90	Professional		$521.19	$712.29	$2,252.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.95 / $1,382.19 / $3,865.02	Facility		$489.95	$1,382.19	$3,865.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.44 / $1,887.77 / $2,288.19	Professional		$616.44	$1,887.77	$2,288.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,810.20 / $2,017.08	Professional		$32.34	$1,810.20	$2,017.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,551.62 / $7,934.73 / $9,934.86	Facility		$5,551.62	$7,934.73	$9,934.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $697.08 / $774.28 / $2,428.06	Professional		$697.08	$774.28	$2,428.06
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $17,585.00 / $18,758.00	Facility		$9,360.00	$17,585.00	$18,758.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.54 / $1,828.47 / $2,769.81	Professional		$1,110.54	$1,828.47	$2,769.81