Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $169.80 / $238.40	Professional		$112.79	$169.80	$238.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $181.86 / $252.55	Professional		$102.07	$181.86	$252.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.83 / $182.46 / $264.13	Facility		$116.83	$182.46	$264.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $237.46 / $315.06	Professional		$179.87	$237.46	$315.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.34	Professional		$32.34	$32.34	$251.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $714.49 / $1,451.69 / $1,937.47	Facility		$714.49	$1,451.69	$1,937.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.33 / $209.13 / $295.54	Professional		$170.33	$209.13	$295.54
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 $165.90 / $210.10 / $274.69	Professional		$165.90	$210.10	$274.69