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 $692.20 / $962.59 / $1,681.70	Professional		$692.20	$962.59	$1,681.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,895.78 / $1,895.78 / $1,901.11	Facility		$1,895.78	$1,895.78	$1,901.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.59 / $1,024.79 / $1,216.94	Professional		$768.59	$1,024.79	$1,216.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.62 / $1,219.21 / $1,933.96	Facility		$655.62	$1,219.21	$1,933.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.29 / $1,248.32 / $1,630.94	Professional		$1,144.29	$1,248.32	$1,630.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,102.24 / $1,228.21	Professional		$32.34	$1,102.24	$1,228.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $7,849.65 / $9,927.16	Facility		$5,490.98	$7,849.65	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,203.30 / $1,415.65 / $1,630.94	Professional		$1,203.30	$1,415.65	$1,630.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $9,360.00 / $17,870.00	Facility		$1,500.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $750.88 / $1,062.66 / $1,403.51	Professional		$750.88	$1,062.66	$1,403.51