Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $181.96 / $547.44	Professional		$107.68	$181.96	$547.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $195.31 / $318.42	Professional		$133.58	$195.31	$318.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $273.52 / $547.44	Facility		$137.22	$273.52	$547.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.79 / $287.82 / $362.92	Professional		$178.79	$287.82	$362.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $291.45	Professional		$32.34	$32.34	$291.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,662.74 / $7,239.58 / $9,755.03	Facility		$3,662.74	$7,239.58	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.27 / $254.07 / $377.91	Professional		$207.27	$254.07	$377.91
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 $184.32 / $242.40 / $373.75	Professional		$184.32	$242.40	$373.75