Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.27 / $5,519.00 / $11,058.40	Facility		$948.27	$5,519.00	$11,058.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,996.99 / $24,987.20 / $26,662.06	Facility	50	$3,996.99	$24,987.20	$26,662.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.08 / $430.65 / $790.23	Professional		$367.08	$430.65	$790.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $546.99 / $546.99 / $546.99	Professional	50	$546.99	$546.99	$546.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.30 / $548.78 / $612.66	Professional		$448.30	$548.78	$612.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $383.15 / $772.65 / $1,011.49	Facility		$383.15	$772.65	$1,011.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $515.58 / $546.82 / $624.94	Professional		$515.58	$546.82	$624.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $505.72	Professional		$30.00	$55.00	$505.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,953.27 / $16,141.46 / $20,737.38	Facility		$7,953.27	$16,141.46	$20,737.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,679.45 / $24,212.19 / $32,338.58	Facility	50	$11,679.45	$24,212.19	$32,338.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $606.69 / $641.84 / $652.24	Professional		$606.69	$641.84	$652.24
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.77 / $577.50 / $881.32	Professional		$353.77	$577.50	$881.32