Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.81 / $1,456.20 / $2,720.30	Facility		$204.81	$1,456.20	$2,720.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,446.40 / $2,940.30 / $3,225.90	Facility	50	$1,446.40	$2,940.30	$3,225.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $172.11 / $336.51	Professional		$64.23	$172.11	$336.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.40 / $275.52 / $736.39	Professional	50	$95.40	$275.52	$736.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $184.12 / $287.33	Professional		$99.57	$184.12	$287.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $180.72 / $401.03	Facility		$82.74	$180.72	$401.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $262.58 / $335.41	Professional		$133.44	$262.58	$335.41
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $210.94 / $210.94 / $533.51	Professional	50	$210.94	$210.94	$533.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $227.45 / $256.80	Professional		$32.34	$227.45	$256.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $196.54 / $335.79	Professional		$139.94	$196.54	$335.79
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 $175.18 / $246.96 / $349.27	Professional		$175.18	$246.96	$349.27