Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.04 / $1,628.00 / $4,589.60	Facility		$461.04	$1,628.00	$4,589.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.56 / $260.41 / $609.33	Professional		$155.56	$260.41	$609.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.61 / $300.14 / $432.43	Professional		$219.61	$300.14	$432.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.49 / $387.43 / $609.33	Facility		$213.49	$387.43	$609.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.72 / $311.18 / $484.56	Professional		$256.72	$311.18	$484.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $433.23	Professional		$30.00	$78.00	$433.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,958.68 / $4,146.99 / $5,331.20	Facility		$2,958.68	$4,146.99	$5,331.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $298.50 / $321.37 / $502.54	Professional		$298.50	$321.37	$502.54
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 $212.39 / $348.69 / $553.35	Professional		$212.39	$348.69	$553.35