Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $59.97 / $85.18	Professional		$45.88	$59.97	$85.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.47 / $94.47 / $94.47	Professional	50	$94.47	$94.47	$94.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $58.50 / $82.17	Professional		$41.29	$58.50	$82.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $75.25 / $126.00	Facility		$35.78	$75.25	$126.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $60.85 / $73.76	Professional		$44.65	$60.85	$73.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $67.98	Professional		$32.34	$32.34	$67.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $453.28 / $895.93 / $1,259.20	Facility		$453.28	$895.93	$1,259.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $70.65 / $75.98	Professional		$59.07	$70.65	$75.98
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $1,800.00 / $9,193.00	Facility		$180.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $79.54 / $116.59	Professional		$49.40	$79.54	$116.59