Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $120.06 / $153.28	Professional		$61.69	$120.06	$153.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.77 / $573.77 / $575.38	Facility		$573.77	$573.77	$575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $101.57 / $152.62	Professional		$79.72	$101.57	$152.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.19 / $160.68 / $278.08	Facility		$61.19	$160.68	$278.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $113.54 / $157.69	Professional		$104.08	$113.54	$157.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.05 / $114.54	Professional		$32.34	$91.05	$114.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,595.57 / $2,281.73 / $2,842.02	Facility		$1,595.57	$2,281.73	$2,842.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $125.97 / $147.71	Professional		$107.07	$125.97	$147.71
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,620.00 / $4,441.00	Facility		$450.00	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $105.61 / $162.93	Professional		$75.18	$105.61	$162.93