Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.66 / $191.49 / $310.17	Professional		$125.66	$191.49	$310.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $219.69 / $331.69	Professional		$128.71	$219.69	$331.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $201.06 / $328.78	Facility		$131.25	$201.06	$328.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.42 / $259.16 / $393.98	Professional		$204.42	$259.16	$393.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $316.39	Professional		$32.34	$32.34	$316.39
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 $194.88 / $254.11 / $380.16	Professional		$194.88	$254.11	$380.16
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 $204.40 / $262.80 / $356.24	Professional		$204.40	$262.80	$356.24