Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $129.50 / $5,519.00	Facility		$78.34	$129.50	$5,519.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $82.00 / $82.00 / $82.00	Facility	50	$82.00	$82.00	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $68.37 / $134.06	Professional		$35.50	$68.37	$134.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.27 / $100.54 / $328.50	Professional	50	$50.27	$100.54	$328.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $34.17 / $34.26	Facility		$34.17	$34.17	$34.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $63.65 / $87.95	Professional		$45.25	$63.65	$87.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.45 / $77.48 / $117.60	Facility		$35.45	$77.48	$117.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $86.46 / $104.80	Professional		$57.11	$86.46	$104.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $84.68 / $152.00	Professional		$32.34	$84.68	$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 $60.62 / $83.68 / $108.94	Professional		$60.62	$83.68	$108.94
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 $54.72 / $74.88 / $106.56	Professional		$54.72	$74.88	$106.56