Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $841.46 / $1,407.00	Facility		$78.37	$841.46	$1,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $96.43 / $157.50	Professional		$42.77	$96.43	$157.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $82.81 / $188.70	Professional		$60.59	$82.81	$188.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.66 / $94.85 / $201.60	Facility		$53.66	$94.85	$201.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $105.43 / $188.26	Professional		$67.78	$105.43	$188.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $133.66 / $168.15	Professional		$32.34	$133.66	$168.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,206.61 / $1,724.86 / $2,164.31	Facility		$1,206.61	$1,724.86	$2,164.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $80.02 / $190.42	Professional		$63.94	$80.02	$190.42
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 $110.22 / $147.19 / $220.81	Professional		$110.22	$147.19	$220.81