Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $210.00 / $4,500.00	Facility		$97.12	$210.00	$4,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $315.00 / $315.00 / $315.00	Facility	50	$315.00	$315.00	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $105.98 / $180.51	Professional		$68.06	$105.98	$180.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.04 / $167.14 / $778.50	Professional	50	$107.04	$167.14	$778.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.10 / $43.10 / $43.22	Facility		$43.10	$43.10	$43.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $96.98 / $135.80	Professional		$73.05	$96.98	$135.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.83 / $132.54 / $218.91	Facility		$52.83	$132.54	$218.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $121.16 / $150.53	Professional		$84.86	$121.16	$150.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $116.01 / $152.00	Professional		$32.34	$116.01	$152.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $533.91 / $742.26 / $932.95	Facility		$533.91	$742.26	$932.95
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $760.01 / $1,113.39 / $1,448.18	Facility	50	$760.01	$1,113.39	$1,448.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $120.77 / $154.44	Professional		$89.51	$120.77	$154.44
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $122.14 / $184.12	Professional		$83.12	$122.14	$184.12