Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $802.00 / $802.00	Facility		$802.00	$802.00	$802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.79 / $223.25 / $371.00	Professional		$201.79	$223.25	$371.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $307.64 / $367.78	Facility		$148.86	$307.64	$367.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $315.48 / $499.46	Professional		$315.48	$315.48	$499.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.24 / $223.25 / $285.76	Facility		$195.24	$223.25	$285.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.46 / $499.46 / $499.46	Professional		$499.46	$499.46	$499.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $208.18 / $290.93 / $356.44	Facility		$208.18	$290.93	$356.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.73 / $298.50 / $313.52	Professional		$253.73	$298.50	$313.52
United Facility/Professional Professional Modifier Low / Median / High Price $94.44 / $116.66 / $222.20	Professional		$94.44	$116.66	$222.20