Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.47 / $1,727.20 / $3,967.56	Facility		$325.47	$1,727.20	$3,967.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,667.36 / $3,457.96 / $3,815.15	Facility	50	$1,667.36	$3,457.96	$3,815.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $239.72 / $632.27	Professional		$95.09	$239.72	$632.27
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.52 / $141.52 / $191.19	Professional	22	$141.52	$141.52	$191.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.84 / $359.58 / $1,402.63	Professional	50	$141.84	$359.58	$1,402.63
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $27.92 / $54.70 / $121.43	Professional	53	$27.92	$54.70	$121.43
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 $135.33 / $242.68 / $430.21	Professional		$135.33	$242.68	$430.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.25 / $289.92 / $667.88	Facility		$111.25	$289.92	$667.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.72 / $389.61 / $553.02	Professional		$177.72	$389.61	$553.02
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $223.65 / $223.65 / $728.82	Professional	50	$223.65	$223.65	$728.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $337.51 / $424.61	Professional		$32.34	$337.51	$424.61
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 $204.18 / $343.73 / $507.47	Professional		$204.18	$343.73	$507.47
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 $255.74 / $349.96 / $486.78	Professional		$255.74	$349.96	$486.78