Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.56 / $4,500.00 / $5,834.09	Facility		$1,127.56	$4,500.00	$5,834.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,434.16 / $10,434.16 / $10,434.16	Facility	50	$10,434.16	$10,434.16	$10,434.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $1,127.56 / $4,902.60	Professional		$285.25	$1,127.56	$4,902.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,557.00 / $2,355.91 / $2,546.46	Professional	50	$1,557.00	$2,355.91	$2,546.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.62 / $1,480.93 / $2,809.26	Professional		$399.62	$1,480.93	$2,809.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,335.17 / $2,335.17 / $3,237.70	Professional		$2,335.17	$2,335.17	$3,237.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.84 / $1,592.13 / $5,147.72	Facility		$397.84	$1,592.13	$5,147.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.65 / $890.32 / $3,202.96	Professional		$524.65	$890.32	$3,202.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $925.60 / $2,822.41	Professional		$32.34	$925.60	$2,822.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,631.49 / $13,217.86 / $17,141.09	Facility		$6,631.49	$13,217.86	$17,141.09
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,377.54 / $19,826.79 / $25,964.93	Facility	50	$9,377.54	$19,826.79	$25,964.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $583.62 / $663.30 / $3,345.25	Professional		$583.62	$663.30	$3,345.25
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.77 / $2,252.62 / $3,308.54	Professional		$1,646.77	$2,252.62	$3,308.54