Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $750.87 / $5,519.00	Facility		$142.13	$750.87	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $116.39 / $192.12	Professional		$78.79	$116.39	$192.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $149.93 / $197.10	Professional		$109.70	$149.93	$197.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $144.55 / $225.21	Facility		$96.22	$144.55	$225.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $175.59 / $212.84	Professional		$120.62	$175.59	$212.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $173.18 / $192.97	Professional		$32.34	$173.18	$192.97
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 $115.60 / $168.28 / $261.06	Professional		$115.60	$168.28	$261.06
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 $114.76 / $153.00 / $235.31	Professional		$114.76	$153.00	$235.31