Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $424.80 / $5,519.00	Facility		$137.94	$424.80	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $112.43 / $177.90	Professional		$73.55	$112.43	$177.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.65 / $55.18 / $88.95	Professional	52	$36.65	$55.18	$88.95
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $14.66 / $22.07 / $35.58	Professional	53	$14.66	$22.07	$35.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $123.86 / $172.76	Professional		$101.16	$123.86	$172.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $141.26 / $219.54	Facility		$73.55	$141.26	$219.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $122.26 / $194.72	Professional		$100.86	$122.26	$194.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $138.12 / $173.76	Professional		$32.34	$138.12	$173.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $359.22 / $486.29 / $603.75	Facility		$359.22	$486.29	$603.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $118.27 / $190.64	Professional		$96.67	$118.27	$190.64
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 $101.05 / $151.50 / $217.22	Professional		$101.05	$151.50	$217.22