Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.57 / $2,229.92 / $4,500.00	Facility		$561.57	$2,229.92	$4,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,948.79 / $3,344.88 / $8,124.80	Facility	50	$2,948.79	$3,344.88	$8,124.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.03 / $425.72 / $1,081.73	Professional		$213.03	$425.72	$1,081.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $268.58 / $638.58 / $1,997.78	Professional	50	$268.58	$638.58	$1,997.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.38 / $1,110.38 / $1,113.50	Facility		$1,110.38	$1,110.38	$1,113.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $433.11 / $726.06	Professional		$279.20	$433.11	$726.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $485.76 / $1,146.63	Facility		$191.04	$485.76	$1,146.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $307.95 / $687.97 / $833.90	Professional		$307.95	$687.97	$833.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $595.40 / $672.23	Professional		$32.34	$595.40	$672.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,453.10 / $4,867.04 / $5,994.73	Facility		$3,453.10	$4,867.04	$5,994.73
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,105.28 / $7,300.56 / $9,122.73	Facility	50	$5,105.28	$7,300.56	$9,122.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $353.01 / $612.61 / $903.25	Professional		$353.01	$612.61	$903.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $5,550.00 / $12,233.00	Facility		$1,350.00	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.28 / $648.32 / $873.15	Professional		$458.28	$648.32	$873.15