Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $155.53 / $4,500.00	Facility		$88.27	$155.53	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $141.09 / $264.57	Professional		$78.27	$141.09	$264.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $154.47 / $239.09	Facility		$86.37	$154.47	$239.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $187.30 / $334.46	Professional		$153.71	$187.30	$334.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $303.27	Professional		$30.00	$78.00	$303.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $718.26 / $895.93 / $1,259.20	Facility		$718.26	$895.93	$1,259.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $149.69 / $293.52	Professional		$132.35	$149.69	$293.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.70 / $336.15 / $530.37	Professional		$252.70	$336.15	$530.37