Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.73 / $1,126.84 / $5,519.00	Facility		$998.73	$1,126.84	$5,519.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,218.10 / $4,879.80 / $5,874.45	Facility	50	$3,218.10	$4,879.80	$5,874.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.10 / $779.08 / $946.94	Professional		$505.10	$779.08	$946.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.52 / $757.56 / $1,663.88	Professional	50	$252.52	$757.56	$1,663.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.12 / $814.97 / $1,004.37	Professional		$381.12	$814.97	$1,004.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.18 / $821.69 / $1,051.76	Facility		$471.18	$821.69	$1,051.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $879.57 / $1,002.33 / $1,202.64	Professional		$879.57	$1,002.33	$1,202.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $975.78	Professional		$32.34	$32.34	$975.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,306.03 / $4,697.79 / $5,755.74	Facility		$3,306.03	$4,697.79	$5,755.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,931.12 / $7,046.69 / $8,633.61	Facility	50	$4,931.12	$7,046.69	$8,633.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $837.56 / $956.50 / $1,167.81	Professional		$837.56	$956.50	$1,167.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $807.93 / $1,050.63	Professional		$634.54	$807.93	$1,050.63