Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.25 / $279.50 / $4,500.00	Facility		$165.25	$279.50	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $252.92 / $527.02	Professional		$141.35	$252.92	$527.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.94 / $289.19 / $448.49	Facility		$162.94	$289.19	$448.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $347.40 / $599.05	Professional		$286.61	$347.40	$599.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $545.03	Professional		$30.00	$78.00	$545.03
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 $245.83 / $279.50 / $570.14	Professional		$245.83	$279.50	$570.14
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 $479.56 / $631.00 / $947.96	Professional		$479.56	$631.00	$947.96