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 $134.22 / $225.69 / $632.05	Professional		$134.22	$225.69	$632.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.55 / $241.63 / $376.31	Professional		$166.55	$241.63	$376.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.03 / $319.91 / $632.05	Facility		$179.03	$319.91	$632.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $265.24 / $420.50	Professional		$218.82	$265.24	$420.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $298.77 / $375.88	Professional		$32.34	$298.77	$375.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,662.74 / $7,239.58 / $9,755.03	Facility		$3,662.74	$7,239.58	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.34 / $295.14 / $437.22	Professional		$253.34	$295.14	$437.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.30 / $290.25 / $470.84	Professional		$219.30	$290.25	$470.84