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 $54.63 / $84.43 / $175.87	Professional		$54.63	$84.43	$175.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $95.36 / $129.40	Professional		$62.31	$95.36	$129.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $127.50 / $186.42	Facility		$69.06	$127.50	$186.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $126.55 / $141.86	Professional		$79.25	$126.55	$141.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.97	Professional		$32.34	$32.34	$143.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,648.20 / $2,276.55 / $3,067.56	Facility		$1,648.20	$2,276.55	$3,067.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $137.97 / $163.96	Professional		$111.73	$137.97	$163.96
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,450.00 / $7,609.00	Facility		$500.00	$3,450.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $116.50 / $158.13	Professional		$84.60	$116.50	$158.13