Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $109.14 / $198.54	Professional		$54.42	$109.14	$198.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $646.98 / $646.98	Professional	50	$126.14	$646.98	$646.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $60.58 / $60.75	Facility		$60.58	$60.58	$60.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $110.15 / $151.83	Professional		$61.17	$110.15	$151.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.07 / $130.97 / $240.23	Facility		$45.07	$130.97	$240.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $129.69 / $157.40	Professional		$72.58	$129.69	$157.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $111.40 / $140.15	Professional		$32.34	$111.40	$140.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $506.67 / $724.18 / $906.75	Facility		$506.67	$724.18	$906.75
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $744.20 / $1,086.27 / $1,399.43	Facility	50	$744.20	$1,086.27	$1,399.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $105.64 / $169.62	Professional		$75.91	$105.64	$169.62
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 $74.86 / $139.88 / $206.96	Professional		$74.86	$139.88	$206.96