Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.19 / $490.85 / $1,573.70	Facility		$217.19	$490.85	$1,573.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $473.45 / $473.45 / $473.45	Facility	52	$473.45	$473.45	$473.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $212.83 / $549.82	Professional		$74.80	$212.83	$549.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $50.84 / $91.26 / $274.91	Professional	52	$50.84	$91.26	$274.91
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $20.32 / $36.50 / $109.96	Professional	53	$20.32	$36.50	$109.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $167.49 / $395.31	Professional		$112.70	$167.49	$395.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.67 / $253.25 / $582.80	Facility		$101.67	$253.25	$582.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $238.74 / $426.32	Professional		$127.56	$238.74	$426.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $342.13 / $381.23	Professional		$32.34	$342.13	$381.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,231.43 / $1,594.64 / $2,085.51	Facility		$1,231.43	$1,594.64	$2,085.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $150.06 / $447.52	Professional		$121.74	$150.06	$447.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.94 / $2,620.00 / $4,441.00	Facility		$1,334.94	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.24 / $274.05 / $443.27	Professional		$219.24	$274.05	$443.27