Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.45 / $4,500.00 / $7,045.00	Facility		$796.45	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.71 / $393.48 / $789.81	Professional		$240.71	$393.48	$789.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,138.73 / $1,138.73 / $1,161.50	Professional	50	$1,138.73	$1,138.73	$1,161.50
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $258.43 / $339.94 / $520.01	Professional	54	$258.43	$339.94	$520.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.78 / $154.78 / $155.22	Facility		$154.78	$154.78	$155.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.67 / $495.82 / $588.78	Professional		$324.67	$495.82	$588.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.62 / $520.12 / $796.45	Facility		$309.62	$520.12	$796.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $551.33 / $609.65 / $772.61	Professional		$551.33	$609.65	$772.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $152.00 / $617.74	Professional		$32.34	$152.00	$617.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $425.11 / $563.48 / $714.51	Facility		$425.11	$563.48	$714.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $536.21 / $678.50 / $772.61	Professional		$536.21	$678.50	$772.61
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 $334.44 / $490.79 / $697.22	Professional		$334.44	$490.79	$697.22