Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.91 / $350.52 / $4,500.00	Facility		$262.91	$350.52	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $191.51 / $294.56	Professional		$126.77	$191.51	$294.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $226.16 / $312.07	Professional		$122.61	$226.16	$312.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $224.63 / $315.45	Facility		$140.22	$224.63	$315.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $289.18 / $375.86	Professional		$238.57	$289.18	$375.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $302.02	Professional		$32.34	$32.34	$302.02
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 $227.11 / $274.47 / $362.17	Professional		$227.11	$274.47	$362.17
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 $192.85 / $244.35 / $325.81	Professional		$192.85	$244.35	$325.81