Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.59 / $1,045.59 / $1,120.00	Facility		$1,045.59	$1,045.59	$1,120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $183.28 / $267.52	Professional		$115.34	$183.28	$267.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.75 / $309.12 / $372.76	Professional		$272.75	$309.12	$372.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.46 / $259.55 / $342.44	Facility		$181.46	$259.55	$342.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.25 / $272.25 / $272.25	Professional		$272.25	$272.25	$272.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $209.42 / $3,500.00	Professional		$30.00	$209.42	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $565.82 / $733.57 / $951.01	Facility		$565.82	$733.57	$951.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.01 / $282.11 / $287.56	Professional		$243.01	$282.11	$287.56
United Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $252.00 / $429.99	Professional		$139.97	$252.00	$429.99