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 $131.00 / $152.93 / $226.70	Professional		$131.00	$152.93	$226.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.13 / $224.18 / $250.28	Professional		$183.13	$224.18	$250.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $226.70 / $290.18	Facility		$152.93	$226.70	$290.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.22 / $221.90 / $253.60	Professional		$209.22	$221.90	$253.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $203.44	Professional		$32.34	$32.34	$203.44
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 $200.00 / $200.00 / $241.88	Professional		$200.00	$200.00	$241.88
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 $131.71 / $183.55 / $276.02	Professional		$131.71	$183.55	$276.02