Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.05 / $384.60 / $572.39	Professional		$256.05	$384.60	$572.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.86 / $394.85 / $589.72	Professional		$244.86	$394.85	$589.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.98 / $392.43 / $601.01	Facility		$264.98	$392.43	$601.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.42 / $497.48 / $731.04	Professional		$410.42	$497.48	$731.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $583.15	Professional		$32.34	$32.34	$583.15
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 $389.25 / $491.30 / $700.85	Professional		$389.25	$491.30	$700.85
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 $306.04 / $442.80 / $614.79	Professional		$306.04	$442.80	$614.79