Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.57 / $544.49 / $5,519.00	Facility		$374.57	$544.49	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $165.84 / $457.56	Professional		$105.29	$165.84	$457.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $197.46 / $273.27	Professional		$144.49	$197.46	$273.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $237.59 / $457.56	Facility		$130.90	$237.59	$457.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $246.05 / $298.24	Professional		$163.85	$246.05	$298.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $239.82 / $267.23	Professional		$32.34	$239.82	$267.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $714.67 / $1,498.24 / $1,929.30	Facility		$714.67	$1,498.24	$1,929.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $207.47 / $305.92	Professional		$192.72	$207.47	$305.92
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 $159.88 / $228.63 / $330.47	Professional		$159.88	$228.63	$330.47