Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.81 / $1,572.80 / $5,519.00	Facility		$198.81	$1,572.80	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $128.60 / $186.53	Professional		$81.70	$128.60	$186.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $146.38 / $210.20	Professional		$107.12	$146.38	$210.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $140.10 / $203.58	Facility		$94.70	$140.10	$203.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $156.56 / $229.66	Professional		$129.16	$156.56	$229.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $158.88 / $199.88	Professional		$32.34	$158.88	$199.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,228.82 / $1,807.67 / $2,435.75	Facility		$1,228.82	$1,807.67	$2,435.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $134.08 / $197.64	Professional		$93.19	$134.08	$197.64
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 $125.23 / $180.01 / $246.37	Professional		$125.23	$180.01	$246.37