Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $211.25 / $308.86	Professional		$139.68	$211.25	$308.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.18 / $242.59 / $290.35	Professional		$198.18	$242.59	$290.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $250.70 / $324.88	Facility		$172.15	$250.70	$324.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.90 / $282.33 / $342.22	Professional		$235.90	$282.33	$342.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $242.58 / $305.18	Professional		$32.34	$242.58	$305.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,781.66 / $7,272.33 / $9,472.49	Facility		$4,781.66	$7,272.33	$9,472.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.62 / $274.68 / $331.88	Professional		$227.62	$274.68	$331.88
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 $135.29 / $197.47 / $280.64	Professional		$135.29	$197.47	$280.64