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 $417.46 / $584.91 / $1,231.52	Professional		$417.46	$584.91	$1,231.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $671.60 / $811.44	Professional		$462.00	$671.60	$811.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $757.40 / $1,305.41	Facility		$471.00	$757.40	$1,305.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $665.02 / $705.32 / $806.08	Professional		$665.02	$705.32	$806.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $565.38 / $711.28	Professional		$32.34	$565.38	$711.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,251.69 / $12,356.77 / $17,141.09	Facility		$6,251.69	$12,356.77	$17,141.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.02 / $831.79 / $860.95	Professional		$707.02	$831.79	$860.95
United Facility/Professional Facility Modifier Low / Median / High Price $10,811.40 / $11,800.00 / $29,092.00	Facility		$10,811.40	$11,800.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.97 / $613.48 / $983.43	Professional		$456.97	$613.48	$983.43