Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,657.00 / $5,519.00	Facility		$4,500.00	$4,657.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.31 / $1,260.45 / $2,202.31	Professional		$1,148.31	$1,260.45	$2,202.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.39 / $1,668.97 / $1,863.30	Professional		$1,363.39	$1,668.97	$1,863.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,097.64 / $1,934.65 / $2,334.44	Facility		$1,097.64	$1,934.65	$2,334.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.86 / $1,642.73 / $1,877.40	Professional		$1,548.86	$1,642.73	$1,877.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,355.60 / $1,705.43	Professional		$32.34	$1,355.60	$1,705.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,788.65 / $14,025.11 / $17,482.34	Facility		$9,788.65	$14,025.11	$17,482.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,475.68 / $1,475.68 / $1,815.72	Professional		$1,475.68	$1,475.68	$1,815.72
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.04 / $1,398.00 / $2,077.19	Professional		$1,013.04	$1,398.00	$2,077.19