Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.75 / $61.75 / $120.08	Facility		$61.75	$61.75	$120.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $449.29 / $708.96	Professional		$83.39	$449.29	$708.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.72 / $687.17 / $935.86	Facility		$204.72	$687.17	$935.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $80.28 / $80.28	Professional		$80.28	$80.28	$80.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,074.61 / $4,100.57 / $5,755.74	Facility		$2,074.61	$4,100.57	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.24 / $1,141.27 / $1,191.73	Professional		$203.24	$1,141.27	$1,191.73
United Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $110.59 / $383.91	Professional		$71.09	$110.59	$383.91