Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.10 / $283.66 / $4,500.00	Facility		$190.10	$283.66	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $147.61 / $238.50	Professional		$68.09	$147.61	$238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $168.73 / $252.27	Professional		$99.26	$168.73	$252.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.21 / $162.46 / $250.41	Facility		$108.21	$162.46	$250.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $207.66 / $302.12	Professional		$171.32	$207.66	$302.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $242.66	Professional		$32.34	$32.34	$242.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $718.81 / $980.47 / $1,244.19	Facility		$718.81	$980.47	$1,244.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $204.78 / $292.05	Professional		$163.16	$204.78	$292.05
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 $151.55 / $191.40 / $259.85	Professional		$151.55	$191.40	$259.85