Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.31 / $260.31 / $7,045.00	Facility		$260.31	$260.31	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $132.22	Professional		$45.89	$127.09	$132.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.29 / $446.29 / $447.54	Facility		$446.29	$446.29	$447.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $162.68	Facility		$45.89	$127.09	$162.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $572.85 / $572.85 / $624.79	Professional		$572.85	$572.85	$624.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,246.64 / $1,753.89 / $2,148.87	Facility		$1,246.64	$1,753.89	$2,148.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $195.93 / $230.50 / $230.50	Professional		$195.93	$230.50	$230.50
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,620.00 / $4,441.00	Facility		$450.00	$2,620.00	$4,441.00