Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.37 / $550.72 / $990.85	Facility		$301.37	$550.72	$990.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $287.66 / $500.92	Professional		$168.03	$287.66	$500.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.73 / $339.35 / $496.79	Professional		$234.73	$339.35	$496.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.29 / $313.77 / $502.26	Facility		$204.29	$313.77	$502.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $405.48 / $588.05	Professional		$306.88	$405.48	$588.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $473.01	Professional		$32.34	$32.34	$473.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $569.62 / $958.04 / $1,244.19	Facility		$569.62	$958.04	$1,244.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $291.56 / $380.13 / $569.42	Professional		$291.56	$380.13	$569.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.25 / $402.76 / $518.66	Professional		$313.25	$402.76	$518.66