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 $109.68 / $172.72 / $461.45	Professional		$109.68	$172.72	$461.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $196.57 / $276.39	Professional		$132.41	$196.57	$276.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $246.33 / $461.45	Facility		$125.15	$246.33	$461.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.07 / $231.60 / $307.30	Professional		$191.07	$231.60	$307.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $274.48	Professional		$32.34	$32.34	$274.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,734.94 / $3,429.20 / $4,629.45	Facility		$1,734.94	$3,429.20	$4,629.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $236.95 / $319.92	Professional		$213.73	$236.95	$319.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $2,962.56 / $4,441.00	Facility		$2,620.00	$2,962.56	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $217.35 / $334.96	Professional		$152.66	$217.35	$334.96