Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.28 / $2,970.88 / $5,519.00	Facility		$174.28	$2,970.88	$5,519.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $703.50 / $1,200.47 / $8,124.80	Facility	50	$703.50	$1,200.47	$8,124.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $174.28 / $654.63	Professional		$54.86	$174.28	$654.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.76 / $140.96 / $663.13	Professional	50	$82.76	$140.96	$663.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $170.84 / $301.70	Professional		$76.20	$170.84	$301.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $187.47 / $635.82	Facility		$57.05	$187.47	$635.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $142.33 / $452.86	Professional		$93.93	$142.33	$452.86
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $188.25 / $188.25 / $188.25	Professional	50	$188.25	$188.25	$188.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $321.33 / $404.25	Professional		$32.34	$321.33	$404.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $140.16 / $499.89	Professional		$107.01	$140.16	$499.89
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 $186.32 / $264.00 / $360.04	Professional		$186.32	$264.00	$360.04