Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $200.29 / $7,045.00	Facility		$139.63	$200.29	$7,045.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $453.06 / $453.06 / $470.90	Facility	50	$453.06	$453.06	$470.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $92.21 / $166.91	Professional		$51.90	$92.21	$166.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.04 / $192.01 / $570.00	Professional	50	$109.04	$192.01	$570.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $54.37 / $54.52	Facility		$54.37	$54.37	$54.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $97.51 / $135.85	Professional		$70.95	$97.51	$135.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $116.39 / $176.92	Facility		$55.78	$116.39	$176.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $133.44 / $161.74	Professional		$91.26	$133.44	$161.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $114.56 / $152.00	Professional		$32.34	$114.56	$152.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $506.67 / $724.18 / $906.75	Facility		$506.67	$724.18	$906.75
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $744.20 / $1,086.27 / $1,399.43	Facility	50	$744.20	$1,086.27	$1,399.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $132.33 / $169.62	Professional		$96.31	$132.33	$169.62
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $113.49 / $159.75	Professional		$83.22	$113.49	$159.75