Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $787.84 / $1,084.88	Professional		$613.66	$787.84	$1,084.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.95 / $932.73 / $1,041.33	Professional		$761.95	$932.73	$1,041.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $745.95 / $1,084.88 / $1,388.65	Facility		$745.95	$1,084.88	$1,388.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $887.59 / $887.59 / $887.59	Professional		$887.59	$887.59	$887.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $522.30 / $3,500.00	Professional		$30.00	$522.30	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,789.17 / $8,522.07 / $10,689.08	Facility		$5,789.17	$8,522.07	$10,689.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $857.27 / $857.27 / $862.26	Professional		$857.27	$857.27	$862.26
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.24 / $1,354.31 / $1,650.07	Professional		$755.24	$1,354.31	$1,650.07