Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $90.62 / $166.15	Professional		$51.29	$90.62	$166.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $76.76 / $125.51	Professional		$56.17	$76.76	$125.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $96.06 / $166.15	Facility		$51.29	$96.06	$166.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $77.64 / $144.91	Professional		$64.05	$77.64	$144.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.51 / $130.22	Professional		$32.34	$103.51	$130.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.28 / $312.54 / $387.23	Facility		$230.28	$312.54	$387.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $75.77 / $138.33	Professional		$61.38	$75.77	$138.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $100.98 / $147.26	Professional		$71.81	$100.98	$147.26