Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.80 / $4,500.00 / $7,045.00	Facility		$272.80	$4,500.00	$7,045.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.20 / $1,047.20 / $1,047.20	Facility	50	$1,047.20	$1,047.20	$1,047.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $135.51 / $272.80	Professional		$68.83	$135.51	$272.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.82 / $223.59 / $737.28	Professional	50	$204.82	$223.59	$737.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.66 / $84.66 / $84.90	Facility		$84.66	$84.66	$84.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $141.87 / $206.00	Professional		$78.14	$141.87	$206.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $155.84 / $300.08	Facility		$55.17	$155.84	$300.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $175.07 / $232.32	Professional		$86.99	$175.07	$232.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $151.69 / $190.85	Professional		$32.34	$151.69	$190.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $965.45 / $1,753.89 / $2,148.87	Facility		$965.45	$1,753.89	$2,148.87
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,313.42 / $2,630.84 / $3,267.48	Facility	50	$1,313.42	$2,630.84	$3,267.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $129.86 / $228.22	Professional		$91.77	$129.86	$228.22
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,620.00 / $4,441.00	Facility		$450.00	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $177.75 / $259.52	Professional		$133.97	$177.75	$259.52