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 Facility Modifier 50 Low / Median / High Price $3,171.50 / $3,171.50 / $3,534.81	Facility	50	$3,171.50	$3,171.50	$3,534.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.40 / $803.58 / $1,326.16	Professional		$486.40	$803.58	$1,326.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.10 / $932.20 / $1,244.04	Professional		$682.10	$932.20	$1,244.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.53 / $967.13 / $1,353.77	Facility		$576.53	$967.13	$1,353.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $801.11 / $971.04 / $1,438.78	Professional		$801.11	$971.04	$1,438.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,152.24	Professional		$32.34	$32.34	$1,152.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,582.86 / $9,755.03	Facility		$5,040.66	$7,582.86	$9,755.03
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,857.43 / $11,374.29 / $15,212.33	Facility	50	$6,857.43	$11,374.29	$15,212.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $765.72 / $807.23 / $1,209.10	Professional		$765.72	$807.23	$1,209.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.60 / $1,034.75 / $1,423.56	Professional		$723.60	$1,034.75	$1,423.56