Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,392.20 / $7,205.00	Facility		$1,628.00	$4,392.20	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $273.36 / $394.95	Professional		$186.15	$273.36	$394.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $267.08 / $336.44	Professional		$195.43	$267.08	$336.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.15 / $278.80 / $406.67	Facility		$186.15	$278.80	$406.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $276.24 / $388.16	Professional		$227.90	$276.24	$388.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $277.20 / $348.74	Professional		$32.34	$277.20	$348.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,671.73 / $4,962.96 / $6,186.02	Facility		$3,671.73	$4,962.96	$6,186.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.36 / $263.18 / $371.12	Professional		$216.36	$263.18	$371.12
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 $199.50 / $272.44 / $394.06	Professional		$199.50	$272.44	$394.06