Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.50 / $1,438.40 / $7,045.00	Facility		$212.50	$1,438.40	$7,045.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $318.76 / $318.76 / $318.76	Facility	50	$318.76	$318.76	$318.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $98.09 / $207.40	Professional		$48.89	$98.09	$207.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.55 / $150.00 / $676.13	Professional	50	$138.55	$150.00	$676.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $60.96 / $61.13	Facility		$60.96	$60.96	$61.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $98.12 / $150.13	Professional		$67.00	$98.12	$150.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $107.97 / $201.77	Facility		$50.41	$107.97	$201.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $126.15 / $174.68	Professional		$83.26	$126.15	$174.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $140.69 / $156.78	Professional		$32.34	$140.69	$156.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $786.73 / $1,753.89 / $2,148.87	Facility		$786.73	$1,753.89	$2,148.87
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $820.55 / $2,630.84 / $3,267.48	Facility	50	$820.55	$2,630.84	$3,267.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $122.93 / $184.10	Professional		$87.81	$122.93	$184.10
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,620.00 / $4,441.00	Facility		$450.00	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $120.32 / $170.41	Professional		$86.26	$120.32	$170.41