Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.39 / $782.40 / $2,638.41	Facility		$193.39	$782.40	$2,638.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $150.97 / $547.79	Professional		$59.00	$150.97	$547.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $127.52 / $318.02	Professional		$75.02	$127.52	$318.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $180.31 / $547.79	Facility		$73.63	$180.31	$547.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $201.79 / $360.34	Professional		$91.26	$201.79	$360.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $254.53 / $320.20	Professional		$32.34	$254.53	$320.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,272.32 / $1,853.08 / $2,769.18	Facility		$1,272.32	$1,853.08	$2,769.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $127.80 / $372.57	Professional		$104.24	$127.80	$372.57
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 $159.60 / $204.69 / $327.60	Professional		$159.60	$204.69	$327.60