Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.50 / $1,500.00 / $2,349.00	Facility		$189.50	$1,500.00	$2,349.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $176.32 / $251.73	Professional		$122.57	$176.32	$251.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $222.24 / $303.73	Professional		$169.90	$222.24	$303.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.54 / $211.54 / $381.09	Facility		$119.54	$211.54	$381.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $244.45 / $296.30	Professional		$171.32	$244.45	$296.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $241.78 / $269.41	Professional		$32.34	$241.78	$269.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,105.20 / $1,557.10 / $1,971.92	Facility		$1,105.20	$1,557.10	$1,971.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $177.49 / $253.40	Professional		$158.19	$177.49	$253.40
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 $168.07 / $291.50 / $403.83	Professional		$168.07	$291.50	$403.83