Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.80 / $1,312.98 / $1,851.96	Professional		$795.80	$1,312.98	$1,851.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.27 / $1,042.89 / $1,319.41	Professional		$672.27	$1,042.89	$1,319.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $757.23 / $1,293.93 / $1,944.56	Facility		$757.23	$1,293.93	$1,944.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.09 / $1,344.44 / $1,629.62	Professional		$1,051.09	$1,344.44	$1,629.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,322.13	Professional		$32.34	$32.34	$1,322.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,412.57 / $9,164.31 / $11,714.67	Facility		$6,412.57	$9,164.31	$11,714.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,389.25 / $1,702.24 / $1,728.22	Professional		$1,389.25	$1,702.24	$1,728.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $9,360.00 / $17,870.00	Facility		$1,400.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $779.75 / $1,061.33 / $1,472.87	Professional		$779.75	$1,061.33	$1,472.87