Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.67 / $503.30 / $1,938.64	Facility		$86.67	$503.30	$1,938.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $302.80 / $644.49 / $754.47	Facility	50	$302.80	$644.49	$754.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $83.01 / $251.94	Professional		$42.93	$83.01	$251.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.36 / $150.22 / $406.50	Professional	50	$62.36	$150.22	$406.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $40.38 / $40.50	Facility		$40.38	$40.38	$40.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $79.42 / $108.02	Professional		$57.11	$79.42	$108.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $97.47 / $152.47	Facility		$45.37	$97.47	$152.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $104.61 / $134.94	Professional		$72.58	$104.61	$134.94
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $91.37 / $91.37 / $152.05	Professional	50	$91.37	$91.37	$152.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $89.96 / $152.00	Professional		$32.34	$89.96	$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 $77.04 / $105.62 / $133.07	Professional		$77.04	$105.62	$133.07
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 $67.26 / $94.30 / $132.00	Professional		$67.26	$94.30	$132.00
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	50	$80.00	$80.00	$80.00