Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.22 / $384.85 / $7,045.00	Facility		$302.22	$384.85	$7,045.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $307.80 / $307.80 / $307.80	Facility	50	$307.80	$307.80	$307.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $168.66 / $323.41	Professional		$97.82	$168.66	$323.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.33 / $299.58 / $898.50	Professional	50	$84.33	$299.58	$898.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $83.10 / $83.33	Facility		$83.10	$83.10	$83.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $173.92 / $223.15	Professional		$130.96	$173.92	$223.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $176.18 / $355.75	Facility		$106.40	$176.18	$355.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.72 / $223.62 / $271.06	Professional		$177.72	$223.62	$271.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $210.18 / $234.20	Professional		$32.34	$210.18	$234.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $533.91 / $742.26 / $932.95	Facility		$533.91	$742.26	$932.95
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $760.01 / $1,113.39 / $1,448.18	Facility	50	$760.01	$1,113.39	$1,448.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $237.37 / $283.38	Professional		$187.52	$237.37	$283.38
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $191.00 / $263.58	Professional		$132.24	$191.00	$263.58