Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $59.99 / $164.26	Professional		$29.94	$59.99	$164.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $70.18 / $174.62	Professional		$44.61	$70.18	$174.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $73.36 / $164.26	Facility		$42.51	$73.36	$164.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $96.10 / $200.54	Professional		$59.24	$96.10	$200.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $161.97	Professional		$32.34	$32.34	$161.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $491.54 / $606.59	Facility		$255.09	$491.54	$606.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $76.16 / $198.73	Professional		$56.78	$76.16	$198.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $115.71 / $173.42	Professional		$71.40	$115.71	$173.42