Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.32 / $2,517.06 / $13,244.80	Facility		$769.32	$2,517.06	$13,244.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $763.57 / $4,253.57 / $26,489.60	Facility	50	$763.57	$4,253.57	$26,489.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $388.91 / $769.32	Professional		$291.39	$388.91	$769.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.17 / $217.17 / $217.17	Professional	50	$217.17	$217.17	$217.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.21 / $449.52 / $501.86	Professional		$367.21	$449.52	$501.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.86 / $609.55 / $827.51	Facility		$312.86	$609.55	$827.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.24 / $448.89 / $513.02	Professional		$423.24	$448.89	$513.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $415.01	Professional		$30.00	$55.00	$415.01
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 $497.72 / $527.87 / $534.94	Professional		$497.72	$527.87	$534.94
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 $281.25 / $437.00 / $631.54	Professional		$281.25	$437.00	$631.54