Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.76 / $875.24 / $4,500.00	Facility		$416.76	$875.24	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $216.33 / $735.50	Professional		$107.60	$216.33	$735.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.59 / $221.47 / $419.10	Professional		$141.59	$221.47	$419.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.74 / $305.14 / $735.50	Facility		$126.74	$305.14	$735.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $312.00 / $483.26	Professional		$197.47	$312.00	$483.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $341.00 / $429.00	Professional		$32.34	$341.00	$429.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,657.94 / $2,653.49 / $3,717.13	Facility		$1,657.94	$2,653.49	$3,717.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $226.03 / $280.24 / $503.87	Professional		$226.03	$280.24	$503.87
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 $202.98 / $294.00 / $447.04	Professional		$202.98	$294.00	$447.04