Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $104.79 / $287.95	Professional		$54.57	$104.79	$287.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $100.50 / $178.94	Professional		$67.86	$100.50	$178.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $150.26 / $287.95	Facility		$68.95	$150.26	$287.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $150.51 / $182.44	Professional		$84.86	$150.51	$182.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $130.40 / $164.05	Professional		$32.34	$130.40	$164.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,206.61 / $1,582.05 / $2,164.31	Facility		$1,206.61	$1,582.05	$2,164.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $120.87 / $197.68	Professional		$99.53	$120.87	$197.68
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 $111.78 / $145.83 / $235.35	Professional		$111.78	$145.83	$235.35