Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.22 / $280.95 / $4,500.00	Facility		$152.22	$280.95	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $129.62 / $236.10	Professional		$75.50	$129.62	$236.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $148.63 / $248.74	Professional		$98.80	$148.63	$248.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.86 / $134.52 / $247.91	Facility		$87.86	$134.52	$247.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $163.02 / $296.94	Professional		$134.49	$163.02	$296.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.42	Professional		$32.34	$32.34	$238.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,306.03 / $4,697.79 / $5,755.74	Facility		$3,306.03	$4,697.79	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $169.64 / $286.29	Professional		$127.88	$169.64	$286.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $188.75 / $253.10	Professional		$148.40	$188.75	$253.10