Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.07 / $509.08 / $4,500.00	Facility		$263.07	$509.08	$4,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $652.79 / $678.26 / $3,888.00	Facility	50	$652.79	$678.26	$3,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $172.56 / $427.80	Professional		$87.29	$172.56	$427.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.34 / $258.83 / $825.00	Professional	50	$130.34	$258.83	$825.00
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 $114.61 / $196.26 / $302.55	Professional		$114.61	$196.26	$302.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.99 / $221.07 / $449.19	Facility		$88.99	$221.07	$449.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $283.93 / $344.16	Professional		$145.71	$283.93	$344.16
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $213.75 / $213.75 / $213.75	Professional	50	$213.75	$213.75	$213.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $245.61 / $309.00	Professional		$32.34	$245.61	$309.00
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 $166.05 / $241.16 / $363.51	Professional		$166.05	$241.16	$363.51
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 $187.34 / $260.74 / $364.82	Professional		$187.34	$260.74	$364.82