Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.03 / $682.03 / $8,622.00	Facility		$682.03	$682.03	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.41 / $273.38 / $573.14	Professional		$173.41	$273.38	$573.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.01 / $303.83 / $366.38	Professional		$211.01	$303.83	$366.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.76 / $349.93 / $607.53	Facility		$219.76	$349.93	$607.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $325.02 / $344.73 / $393.98	Professional		$325.02	$344.73	$393.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $352.74	Professional		$32.34	$32.34	$352.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,239.58 / $9,755.03	Facility		$5,040.66	$7,239.58	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $343.32 / $394.81 / $403.90	Professional		$343.32	$394.81	$403.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $268.79 / $407.73	Professional		$203.00	$268.79	$407.73