Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.98 / $465.98 / $5,519.00	Facility		$465.98	$465.98	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $80.20 / $129.50	Professional		$47.06	$80.20	$129.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.77 / $39.78 / $64.75	Professional	52	$26.77	$39.78	$64.75
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $10.71 / $15.91 / $25.90	Professional	53	$10.71	$15.91	$25.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $89.16 / $123.13	Professional		$65.23	$89.16	$123.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $87.96 / $147.44	Facility		$53.64	$87.96	$147.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $89.28 / $144.26	Professional		$73.66	$89.28	$144.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $102.27 / $128.66	Professional		$32.34	$102.27	$128.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $330.42 / $472.21 / $603.75	Facility		$330.42	$472.21	$603.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $86.20 / $139.56	Professional		$70.08	$86.20	$139.56
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 $74.48 / $101.16 / $150.57	Professional		$74.48	$101.16	$150.57