Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.75 / $619.65 / $5,519.00	Facility		$131.75	$619.65	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $137.50 / $240.17	Professional		$86.40	$137.50	$240.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $160.66 / $204.60	Professional		$117.56	$160.66	$204.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $167.83 / $261.66	Facility		$110.97	$167.83	$261.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $164.32 / $232.90	Professional		$135.56	$164.32	$232.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $188.18	Professional		$32.34	$32.34	$188.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,206.61 / $1,724.86 / $2,164.31	Facility		$1,206.61	$1,724.86	$2,164.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $157.61 / $225.08	Professional		$129.41	$157.61	$225.08
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 $122.34 / $171.99 / $247.26	Professional		$122.34	$171.99	$247.26