Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $144.50 / $6,452.09	Facility		$144.50	$144.50	$6,452.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $310.25 / $310.25 / $310.25	Facility	50	$310.25	$310.25	$310.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $50.59 / $110.89	Professional		$32.40	$50.59	$110.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.68 / $77.36 / $91.72	Professional	50	$73.68	$77.36	$91.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $49.70 / $49.84	Facility		$49.70	$49.70	$49.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $60.03 / $107.93	Professional		$34.28	$60.03	$107.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $66.81 / $136.90	Facility		$27.41	$66.81	$136.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $100.86 / $122.26	Professional		$44.15	$100.86	$122.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $98.49 / $152.00	Professional		$32.34	$98.49	$152.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $284.05 / $391.60 / $486.11	Facility		$284.05	$391.60	$486.11
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $410.84 / $587.40 / $744.50	Facility	50	$410.84	$587.40	$744.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $62.30 / $130.32	Professional		$44.19	$62.30	$130.32
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 $55.22 / $85.68 / $120.60	Professional		$55.22	$85.68	$120.60