Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.86 / $175.86 / $249.58	Professional		$162.86	$175.86	$249.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.35 / $214.65 / $239.65	Professional		$175.35	$214.65	$239.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $216.45 / $319.45	Facility		$126.00	$216.45	$319.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $212.28 / $242.60	Professional		$200.15	$212.28	$242.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $175.20 / $220.41	Professional		$32.34	$175.20	$220.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,844.43 / $3,899.99 / $5,001.00	Facility		$1,844.43	$3,899.99	$5,001.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $190.79 / $233.18	Professional		$190.69	$190.79	$233.18
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 $131.01 / $183.50 / $268.63	Professional		$131.01	$183.50	$268.63