Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.05 / $5,519.00 / $9,328.21	Facility		$1,338.05	$5,519.00	$9,328.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,347.26 / $14,347.26 / $14,347.26	Facility	50	$14,347.26	$14,347.26	$14,347.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.91 / $963.10 / $1,684.36	Professional		$610.91	$963.10	$1,684.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.74 / $1,042.48 / $1,287.99	Professional		$798.74	$1,042.48	$1,287.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $729.31 / $1,274.15 / $2,027.45	Facility		$729.31	$1,274.15	$2,027.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $920.67 / $1,115.96 / $1,433.60	Professional		$920.67	$1,115.96	$1,433.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,027.67 / $1,292.86	Professional		$32.34	$1,027.67	$1,292.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,284.43 / $8,522.07 / $10,689.08	Facility		$6,284.43	$8,522.07	$10,689.08
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,952.15 / $12,783.11 / $16,471.71	Facility	50	$8,952.15	$12,783.11	$16,471.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $877.22 / $1,070.59 / $1,385.84	Professional		$877.22	$1,070.59	$1,385.84
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 $780.14 / $1,107.99 / $1,566.59	Professional		$780.14	$1,107.99	$1,566.59