Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.70 / $569.36 / $4,500.00	Facility		$308.70	$569.36	$4,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $582.60 / $860.31 / $3,792.00	Facility	50	$582.60	$860.31	$3,792.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $192.28 / $466.95	Professional		$103.18	$192.28	$466.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $161.69 / $288.42 / $913.16	Professional	50	$161.69	$288.42	$913.16
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 $134.07 / $215.75 / $330.14	Professional		$134.07	$215.75	$330.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.06 / $257.07 / $494.97	Facility		$103.06	$257.07	$494.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $307.43 / $372.64	Professional		$168.65	$307.43	$372.64
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $215.00 / $215.00 / $215.00	Professional	50	$215.00	$215.00	$215.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $266.80 / $301.23	Professional		$32.34	$266.80	$301.23
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 $193.11 / $263.33 / $396.05	Professional		$193.11	$263.33	$396.05
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 $206.34 / $292.69 / $401.09	Professional		$206.34	$292.69	$401.09