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 $621.49 / $942.54 / $1,833.44	Professional		$621.49	$942.54	$1,833.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.13 / $862.91 / $1,082.66	Professional		$486.13	$862.91	$1,082.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $1,098.89 / $1,925.11	Facility		$567.88	$1,098.89	$1,925.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.26 / $1,109.74 / $1,233.04	Professional		$1,017.26	$1,109.74	$1,233.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $14,097.25 / $17,807.80	Facility		$9,660.78	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,184.65 / $1,266.34 / $1,266.34	Professional		$1,184.65	$1,266.34	$1,266.34
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $846.01 / $1,312.02	Professional		$658.00	$846.01	$1,312.02