Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.12 / $1,801.32 / $3,518.53	Facility		$705.12	$1,801.32	$3,518.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,615.66 / $25,743.45 / $25,743.45	Facility	50	$2,615.66	$25,743.45	$25,743.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $592.54 / $1,074.65	Professional		$266.77	$592.54	$1,074.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.00 / $131.00 / $131.00	Professional	50	$131.00	$131.00	$131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $460.38 / $740.51	Professional		$336.86	$460.38	$740.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $324.35 / $592.54 / $1,128.38	Facility		$324.35	$592.54	$1,128.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.54 / $475.32 / $848.78	Professional		$388.54	$475.32	$848.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $759.00	Professional		$30.00	$78.00	$759.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,786.30 / $16,141.46 / $20,737.38	Facility		$7,786.30	$16,141.46	$20,737.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,809.86 / $24,212.19 / $32,338.58	Facility	50	$7,809.86	$24,212.19	$32,338.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $456.41 / $490.19 / $875.11	Professional		$456.41	$490.19	$875.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $419.70 / $695.41	Professional		$299.44	$419.70	$695.41