Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.09 / $1,407.00 / $7,045.00	Facility		$117.09	$1,407.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $123.36 / $201.48	Professional		$79.37	$123.36	$201.48
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $41.39 / $61.68 / $100.74	Professional	52	$41.39	$61.68	$100.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $146.47 / $213.61	Professional		$82.97	$146.47	$213.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.89 / $137.18 / $211.55	Facility		$88.89	$137.18	$211.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $166.16 / $258.12	Professional		$136.09	$166.16	$258.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $207.60	Professional		$32.34	$32.34	$207.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $348.33 / $491.54 / $606.59	Facility		$348.33	$491.54	$606.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $162.71 / $248.11	Professional		$127.65	$162.71	$248.11
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 $135.10 / $162.13 / $223.89	Professional		$135.10	$162.13	$223.89