Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $126.39 / $359.78	Professional		$70.06	$126.39	$359.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $128.18 / $203.11	Professional		$88.11	$128.18	$203.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $169.61 / $359.78	Facility		$78.59	$169.61	$359.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $195.34 / $230.92	Professional		$111.01	$195.34	$230.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.19	Professional		$32.34	$32.34	$191.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $440.33 / $586.41 / $853.37	Facility		$440.33	$586.41	$853.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $140.56 / $245.27	Professional		$130.94	$140.56	$245.27
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 $129.88 / $159.36 / $226.77	Professional		$129.88	$159.36	$226.77