Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.42 / $2,007.60 / $4,650.01	Facility		$642.42	$2,007.60	$4,650.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $283.42 / $505.11 / $1,506.40	Facility	53	$283.42	$505.11	$1,506.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $359.26 / $1,010.22	Professional		$187.03	$359.26	$1,010.22
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $55.67 / $125.21 / $321.20	Professional	53	$55.67	$125.21	$321.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.82 / $353.92 / $600.10	Professional		$239.82	$353.92	$600.10
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $79.29 / $79.29 / $267.63	Professional	53	$79.29	$79.29	$267.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.28 / $539.86 / $1,060.73	Facility		$251.28	$539.86	$1,060.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.20 / $371.17 / $655.34	Professional		$310.20	$371.17	$655.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $263.52 / $586.97	Professional		$32.34	$263.52	$586.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,272.32 / $1,855.38 / $2,769.18	Facility		$1,272.32	$1,855.38	$2,769.18
Regence BlueShield Facility/Professional Facility Modifier 53 Low / Median / High Price $1,539.68 / $1,539.68 / $1,539.68	Facility	53	$1,539.68	$1,539.68	$1,539.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $343.28 / $526.00 / $679.16	Professional		$343.28	$526.00	$679.16
Regence BlueShield Facility/Professional Professional Modifier 53 Low / Median / High Price $154.66 / $183.47 / $339.25	Professional	53	$154.66	$183.47	$339.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.96 / $516.96 / $824.94	Professional		$356.96	$516.96	$824.94
United Facility/Professional Professional Modifier 53 Low / Median / High Price $127.98 / $127.98 / $279.24	Professional	53	$127.98	$127.98	$279.24