Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $5,519.00 / $14,324.08	Facility		$1,628.00	$5,519.00	$14,324.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $299.89 / $695.74	Professional		$143.66	$299.89	$695.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $252.84 / $522.03	Professional		$185.01	$252.84	$522.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.72 / $367.50 / $695.74	Facility		$168.72	$367.50	$695.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.42 / $308.30 / $550.54	Professional		$212.42	$308.30	$550.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $391.84 / $492.96	Professional		$32.34	$391.84	$492.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,671.73 / $5,048.97 / $6,186.02	Facility		$3,671.73	$5,048.97	$6,186.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $246.35 / $567.11	Professional		$202.04	$246.35	$567.11
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 $286.14 / $396.06 / $619.38	Professional		$286.14	$396.06	$619.38