Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $140.52 / $3,522.50	Facility		$71.61	$140.52	$3,522.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $223.20 / $223.20 / $566.96	Facility	50	$223.20	$223.20	$566.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $79.06 / $251.00	Professional		$37.21	$79.06	$251.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.86 / $107.60 / $276.66	Professional	50	$35.86	$107.60	$276.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $34.95 / $35.04	Facility		$34.95	$34.95	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $68.66 / $95.40	Professional		$49.49	$68.66	$95.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $85.28 / $129.90	Facility		$38.67	$85.28	$129.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $93.41 / $113.22	Professional		$62.45	$93.41	$113.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.88 / $152.00	Professional		$32.34	$80.88	$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 $65.70 / $92.19 / $119.28	Professional		$65.70	$92.19	$119.28
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 $59.28 / $87.65 / $128.72	Professional		$59.28	$87.65	$128.72