Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.48 / $284.95 / $1,628.00	Facility		$200.48	$284.95	$1,628.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $168.86 / $239.47	Professional		$107.40	$168.86	$239.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $175.27 / $251.02	Professional		$124.77	$175.27	$251.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.81 / $178.99 / $253.84	Facility		$114.81	$178.99	$253.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.27 / $216.08 / $304.06	Professional		$178.27	$216.08	$304.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $243.30	Professional		$32.34	$32.34	$243.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $348.33 / $491.54 / $606.59	Facility		$348.33	$491.54	$606.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.84 / $206.08 / $291.39	Professional		$170.84	$206.08	$291.39
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 $150.50 / $193.16 / $262.30	Professional		$150.50	$193.16	$262.30