Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.62 / $4,500.00 / $7,045.00	Facility		$534.62	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $228.13 / $445.52	Professional		$152.18	$228.13	$445.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $259.89 / $382.55	Professional		$172.53	$259.89	$382.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.60 / $350.23 / $650.42	Facility		$203.60	$350.23	$650.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $249.25 / $302.12 / $430.20	Professional		$249.25	$302.12	$430.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $305.01 / $383.72	Professional		$32.34	$305.01	$383.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,342.49 / $2,392.64 / $3,575.46	Facility		$1,342.49	$2,392.64	$3,575.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $312.27 / $434.56	Professional		$283.42	$312.27	$434.56
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 $219.60 / $281.27 / $445.30	Professional		$219.60	$281.27	$445.30