Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.80 / $320.39 / $4,500.00	Facility		$196.80	$320.39	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $165.38 / $269.24	Professional		$84.92	$165.38	$269.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $175.31 / $244.12	Professional		$128.28	$175.31	$244.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $171.31 / $269.24	Facility		$109.91	$171.31	$269.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.11 / $184.38 / $292.42	Professional		$152.11	$184.38	$292.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $206.85 / $260.23	Professional		$32.34	$206.85	$260.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,966.37 / $12,222.47 / $15,458.09	Facility		$8,966.37	$12,222.47	$15,458.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.31 / $178.81 / $288.58	Professional		$147.31	$178.81	$288.58
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $144.24 / $257.01	Professional		$104.51	$144.24	$257.01