Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.48 / $428.69 / $4,500.00	Facility		$224.48	$428.69	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $143.05 / $360.25	Professional		$70.84	$143.05	$360.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
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 $87.61 / $147.60 / $255.17	Professional		$87.61	$147.60	$255.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $190.30 / $381.26	Facility		$74.81	$190.30	$381.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $230.57 / $280.80	Professional		$122.22	$230.57	$280.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $225.37 / $251.12	Professional		$32.34	$225.37	$251.12
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 Professional Modifier Low / Median / High Price $141.44 / $203.28 / $301.31	Professional		$141.44	$203.28	$301.31
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 $142.91 / $205.39 / $276.49	Professional		$142.91	$205.39	$276.49