Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $6,899.00	Facility		$4,500.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.83 / $1,799.77 / $3,434.52	Professional		$1,169.83	$1,799.77	$3,434.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.27 / $1,642.28 / $2,091.17	Professional		$942.27	$1,642.28	$2,091.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,064.09 / $1,799.77 / $3,606.25	Facility		$1,064.09	$1,799.77	$3,606.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,922.98 / $2,047.50 / $2,330.88	Professional		$1,922.98	$2,047.50	$2,330.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,862.18	Professional		$32.34	$32.34	$1,862.18
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 $2,211.81 / $2,380.07 / $2,408.77	Professional		$2,211.81	$2,380.07	$2,408.77
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.04 / $1,523.28 / $2,159.98	Professional		$1,219.04	$1,523.28	$2,159.98