Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $4,500.00 / $7,045.00	Facility		$24.80	$4,500.00	$7,045.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $273.70 / $273.70 / $273.70	Facility	50	$273.70	$273.70	$273.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $53.04 / $125.15	Professional		$33.32	$53.04	$125.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $102.01 / $282.00	Professional	50	$60.55	$102.01	$282.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $26.80 / $26.87	Facility		$26.80	$26.80	$26.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $61.57 / $84.43	Professional		$43.75	$61.57	$84.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $79.23 / $128.93	Facility		$33.61	$79.23	$128.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $79.53 / $96.40	Professional		$52.83	$79.53	$96.40
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $77.70 / $77.70 / $77.70	Professional	50	$77.70	$77.70	$77.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $79.22 / $152.00	Professional		$32.34	$79.22	$152.00
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 $56.08 / $80.68 / $102.05	Professional		$56.08	$80.68	$102.05
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 $51.68 / $71.75 / $97.97	Professional		$51.68	$71.75	$97.97