Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.33 / $316.39 / $4,500.00	Facility		$238.33	$316.39	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $171.61 / $265.88	Professional		$108.64	$171.61	$265.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $204.69 / $281.39	Professional		$110.47	$204.69	$281.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.11 / $200.98 / $282.50	Facility		$126.11	$200.98	$282.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.62 / $261.36 / $336.40	Professional		$215.62	$261.36	$336.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $270.69	Professional		$32.34	$32.34	$270.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $980.47 / $1,724.86 / $2,164.31	Facility		$980.47	$1,724.86	$2,164.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $248.80 / $326.08	Professional		$206.13	$248.80	$326.08
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 $171.49 / $220.49 / $287.92	Professional		$171.49	$220.49	$287.92