Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.95 / $1,628.00 / $7,205.00	Facility		$245.95	$1,628.00	$7,205.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,889.15 / $8,828.49 / $8,828.49	Facility	50	$2,889.15	$8,828.49	$8,828.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $364.21 / $622.61	Professional		$176.44	$364.21	$622.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $465.81 / $652.14 / $652.14	Professional	50	$465.81	$652.14	$652.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.66 / $300.20 / $440.32	Professional		$219.66	$300.20	$440.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.87 / $389.82 / $663.55	Facility		$213.87	$389.82	$663.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $312.45 / $514.96	Professional		$257.77	$312.45	$514.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $412.81	Professional		$30.00	$30.00	$412.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,958.68 / $4,146.99 / $5,331.20	Facility		$2,958.68	$4,146.99	$5,331.20
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,354.50 / $6,220.49 / $8,019.39	Facility	50	$4,354.50	$6,220.49	$8,019.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $299.51 / $322.73 / $515.87	Professional		$299.51	$322.73	$515.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $423.49 / $568.00	Professional		$273.98	$423.49	$568.00