Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.23 / $7,051.35 / $9,746.40	Facility		$1,255.23	$7,051.35	$9,746.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,595.36 / $12,595.36 / $12,595.36	Facility	50	$12,595.36	$12,595.36	$12,595.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $1,255.23 / $5,925.51	Professional		$312.25	$1,255.23	$5,925.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.31 / $234.47 / $271.20	Professional	50	$156.31	$234.47	$271.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.57 / $1,780.50 / $3,413.32	Professional		$436.57	$1,780.50	$3,413.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,431.67 / $3,431.67 / $3,438.71	Professional		$3,431.67	$3,431.67	$3,438.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.39 / $1,890.25 / $6,221.79	Facility		$445.39	$1,890.25	$6,221.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.96 / $992.66 / $3,804.60	Professional		$584.96	$992.66	$3,804.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,113.14 / $3,350.90	Professional		$32.34	$1,113.14	$3,350.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,906.36 / $13,790.74 / $17,141.09	Facility		$9,906.36	$13,790.74	$17,141.09
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,881.78 / $20,686.11 / $25,964.93	Facility	50	$13,881.78	$20,686.11	$25,964.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $649.73 / $741.90 / $4,040.20	Professional		$649.73	$741.90	$4,040.20
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 $2,010.55 / $2,570.46 / $3,688.89	Professional		$2,010.55	$2,570.46	$3,688.89