Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.78 / $3,056.62 / $8,439.00	Facility		$1,136.78	$3,056.62	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.03 / $1,569.36 / $3,703.57	Professional		$744.03	$1,569.36	$3,703.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.80 / $1,325.39 / $2,891.60	Professional		$969.80	$1,325.39	$2,891.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $888.11 / $2,008.78 / $4,740.57	Facility		$888.11	$2,008.78	$4,740.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,113.33 / $1,692.22 / $3,021.82	Professional		$1,113.33	$1,692.22	$3,021.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,426.90	Professional		$32.34	$32.34	$2,426.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,064.64 / $12,228.99 / $15,681.77	Facility		$8,064.64	$12,228.99	$15,681.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,059.83 / $1,297.69 / $3,010.67	Professional		$1,059.83	$1,297.69	$3,010.67
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,765.27 / $2,665.04 / $4,234.72	Professional		$1,765.27	$2,665.04	$4,234.72