Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $7,045.00 / $8,173.41	Facility		$1,407.00	$7,045.00	$8,173.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $121.14 / $323.54	Professional		$92.82	$121.14	$323.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.62 / $159.88 / $178.51	Professional		$130.62	$159.88	$178.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.89 / $228.60 / $619.20	Facility		$102.89	$228.60	$619.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $168.40 / $177.26	Professional		$146.24	$168.40	$177.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $145.50 / $162.12	Professional		$32.34	$145.50	$162.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,184.67 / $3,897.74 / $4,961.97	Facility		$2,184.67	$3,897.74	$4,961.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $179.96 / $183.74	Professional		$173.92	$179.96	$183.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $17,585.00 / $18,758.00	Facility		$2,620.00	$17,585.00	$18,758.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $338.22 / $548.89	Professional		$98.87	$338.22	$548.89