Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $284.48 / $4,500.00	Facility		$103.92	$284.48	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $130.62 / $255.28	Professional		$55.28	$130.62	$255.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $106.72 / $254.58	Professional		$72.87	$106.72	$254.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.97 / $107.76 / $251.01	Facility		$58.97	$107.76	$251.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $244.98 / $296.94	Professional		$90.21	$244.98	$296.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $237.90	Professional		$32.34	$32.34	$237.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $813.47 / $1,451.69 / $1,937.47	Facility		$813.47	$1,451.69	$1,937.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $116.32 / $290.70	Professional		$85.93	$116.32	$290.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $194.40 / $259.20	Professional		$149.10	$194.40	$259.20