Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.26 / $1,407.00 / $4,500.00	Facility		$384.26	$1,407.00	$4,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,780.10 / $2,110.50 / $2,242.30	Facility	50	$1,780.10	$2,110.50	$2,242.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $259.31 / $654.96	Professional		$120.15	$259.31	$654.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $235.00 / $350.00 / $1,332.00	Professional	50	$235.00	$350.00	$1,332.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.77 / $573.77 / $575.38	Facility		$573.77	$573.77	$575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $275.06 / $463.66	Professional		$156.80	$275.06	$463.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $339.06 / $694.26	Facility		$129.44	$339.06	$694.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $422.70 / $560.04	Professional		$221.90	$422.70	$560.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $366.40 / $460.96	Professional		$32.34	$366.40	$460.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,595.57 / $2,281.73 / $2,842.02	Facility		$1,595.57	$2,281.73	$2,842.02
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,368.01 / $3,422.61 / $4,306.64	Facility	50	$2,368.01	$3,422.61	$4,306.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.24 / $369.60 / $546.77	Professional		$239.24	$369.60	$546.77
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 $275.88 / $392.04 / $508.20	Professional		$275.88	$392.04	$508.20