Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $108.48 / $216.40	Professional		$68.31	$108.48	$216.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $112.54 / $206.32	Professional		$78.61	$112.54	$206.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $123.12 / $227.22	Facility		$69.20	$123.12	$227.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $183.52 / $235.48	Professional		$96.61	$183.52	$235.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.07	Professional		$32.34	$32.34	$191.07
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 $92.07 / $123.25 / $231.15	Professional		$92.07	$123.25	$231.15
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 $131.86 / $163.09 / $221.66	Professional		$131.86	$163.09	$221.66