Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $291.20 / $4,500.00	Facility		$197.65	$291.20	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $153.04 / $244.72	Professional		$94.33	$153.04	$244.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $176.30 / $259.83	Professional		$100.79	$176.30	$259.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $175.69 / $259.39	Facility		$113.67	$175.69	$259.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $214.14 / $309.24	Professional		$176.67	$214.14	$309.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $249.29	Professional		$32.34	$32.34	$249.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,268.32 / $1,771.69 / $2,164.31	Facility		$1,268.32	$1,771.69	$2,164.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $209.56 / $300.19	Professional		$168.28	$209.56	$300.19
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 $160.30 / $201.52 / $272.41	Professional		$160.30	$201.52	$272.41