Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.64 / $646.00 / $4,454.80	Facility		$223.64	$646.00	$4,454.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $187.94 / $601.41	Professional		$78.62	$187.94	$601.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $297.12 / $297.12 / $297.12	Professional	50	$297.12	$297.12	$297.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $147.38 / $414.08	Professional		$107.84	$147.38	$414.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $240.56 / $601.41	Facility		$95.52	$240.56	$601.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $261.56 / $467.08	Professional		$123.82	$261.56	$467.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $414.82	Professional		$30.00	$78.00	$414.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.28 / $316.05 / $387.23	Facility		$230.28	$316.05	$387.23
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $325.77 / $474.08 / $603.55	Facility	50	$325.77	$474.08	$603.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $156.62 / $487.88	Professional		$144.88	$156.62	$487.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $272.70 / $460.79	Professional		$158.19	$272.70	$460.79