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 $94.23 / $207.39 / $524.90	Professional		$94.23	$207.39	$524.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $170.09 / $388.75	Professional		$107.70	$170.09	$388.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $221.53 / $545.95	Facility		$89.60	$221.53	$545.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $227.07 / $406.46	Professional		$155.84	$227.07	$406.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $364.37	Professional		$32.34	$32.34	$364.37
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 $158.07 / $314.42 / $483.21	Professional		$158.07	$314.42	$483.21
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 $234.72 / $296.10 / $443.37	Professional		$234.72	$296.10	$443.37