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 $85.37 / $127.29 / $332.82	Professional		$85.37	$127.29	$332.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $152.10 / $214.13	Professional		$97.63	$152.10	$214.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $170.60 / $332.82	Facility		$90.49	$170.60	$332.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $159.59 / $193.44	Professional		$127.56	$159.59	$193.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $137.75 / $173.30	Professional		$32.34	$137.75	$173.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $877.58 / $1,237.18 / $1,667.05	Facility		$877.58	$1,237.18	$1,667.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $179.41 / $238.30	Professional		$161.16	$179.41	$238.30
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 $117.66 / $158.41 / $248.04	Professional		$117.66	$158.41	$248.04