Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $311.73 / $751.52	Professional		$142.66	$311.73	$751.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $241.22 / $366.78	Professional		$178.11	$241.22	$366.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.62 / $366.01 / $653.04	Facility		$171.62	$366.01	$653.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $240.02 / $397.86	Professional		$198.02	$240.02	$397.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $283.62 / $356.81	Professional		$32.34	$283.62	$356.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,657.94 / $2,392.64 / $3,575.46	Facility		$1,657.94	$2,392.64	$3,575.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $232.51 / $283.32 / $415.23	Professional		$232.51	$283.32	$415.23
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 $207.48 / $273.00 / $425.09	Professional		$207.48	$273.00	$425.09