Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.75 / $4,500.00 / $7,045.00	Facility		$879.75	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $104.74 / $357.12	Professional		$65.40	$104.74	$357.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $119.82 / $159.77	Professional		$88.00	$119.82	$159.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.54 / $123.38 / $248.04	Facility		$67.54	$123.38	$248.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $149.97 / $181.78	Professional		$111.01	$149.97	$181.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $128.40 / $144.97	Professional		$32.34	$128.40	$144.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $159.19 / $190.99	Professional		$128.44	$159.19	$190.99
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $135.19 / $189.80	Professional		$96.20	$135.19	$189.80