Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.88 / $223.55 / $5,519.00	Facility		$124.88	$223.55	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $87.04 / $172.31	Professional		$38.79	$87.04	$172.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.39 / $34.69 / $86.16	Professional	52	$19.39	$34.69	$86.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $60.45 / $132.43	Professional		$43.00	$60.45	$132.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $89.80 / $184.70	Facility		$38.79	$89.80	$184.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $82.24 / $146.86	Professional		$47.50	$82.24	$146.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.53 / $131.51	Professional		$32.34	$104.53	$131.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $456.81 / $584.88 / $748.83	Facility		$456.81	$584.88	$748.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $56.50 / $141.75	Professional		$45.52	$56.50	$141.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $118.68 / $161.22	Professional		$81.31	$118.68	$161.22