Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $400.00 / $4,500.00	Facility		$158.00	$400.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $162.72 / $312.79	Professional		$74.70	$162.72	$312.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $125.68 / $214.84	Professional		$91.96	$125.68	$214.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.45 / $170.87 / $312.79	Facility		$91.45	$170.87	$312.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $138.76 / $247.78	Professional		$111.54	$138.76	$247.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $220.58	Professional		$30.00	$78.00	$220.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $353.95 / $456.28 / $600.16	Facility		$353.95	$456.28	$600.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $137.63 / $258.60	Professional		$127.04	$137.63	$258.60
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 $124.26 / $157.05 / $251.12	Professional		$124.26	$157.05	$251.12