Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.39 / $510.39 / $510.39	Facility		$510.39	$510.39	$510.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $240.93 / $289.47	Professional		$173.36	$240.93	$289.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.39 / $405.39 / $405.39	Professional		$405.39	$405.39	$405.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.13 / $265.83 / $340.26	Facility		$227.13	$265.83	$340.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $643.22 / $643.22 / $643.22	Professional		$643.22	$643.22	$643.22
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 $1,263.85 / $1,901.75 / $2,746.53	Facility		$1,263.85	$1,901.75	$2,746.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $326.02 / $383.57 / $383.57	Professional		$326.02	$383.57	$383.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.45 / $365.49 / $563.34	Professional		$270.45	$365.49	$563.34