Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.87 / $133.74 / $4,500.00	Facility		$67.87	$133.74	$4,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $465.60 / $465.60 / $512.33	Facility	50	$465.60	$465.60	$512.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $69.88 / $133.74	Professional		$37.39	$69.88	$133.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $101.00 / $114.45 / $411.00	Professional	50	$101.00	$114.45	$411.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.56 / $34.56 / $34.65	Facility		$34.56	$34.56	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $66.16 / $91.48	Professional		$47.02	$66.16	$91.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.49 / $84.35 / $129.25	Facility		$36.49	$84.35	$129.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $88.06 / $107.64	Professional		$58.71	$88.06	$107.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $86.33 / $152.00	Professional		$32.34	$86.33	$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 $62.32 / $86.93 / $113.77	Professional		$62.32	$86.93	$113.77
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 $56.62 / $77.48 / $114.92	Professional		$56.62	$77.48	$114.92