Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.96 / $727.25 / $1,483.05	Professional		$517.96	$727.25	$1,483.05
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $517.57 / $813.77 / $1,112.29	Professional	54	$517.57	$813.77	$1,112.29
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $103.51 / $162.75 / $222.46	Professional	55	$103.51	$162.75	$222.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.80 / $833.00 / $1,177.59	Professional		$533.80	$833.00	$1,177.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $554.42 / $1,058.38 / $1,557.20	Facility		$554.42	$1,058.38	$1,557.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $749.84 / $1,100.52 / $1,193.89	Professional		$749.84	$1,100.52	$1,193.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,207.58	Professional		$32.34	$32.34	$1,207.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,648.20 / $2,276.55 / $3,067.56	Facility		$1,648.20	$2,276.55	$3,067.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $974.38 / $1,195.70 / $1,379.66	Professional		$974.38	$1,195.70	$1,379.66
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,450.00 / $7,609.00	Facility		$500.00	$3,450.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.48 / $892.86 / $1,331.95	Professional		$628.48	$892.86	$1,331.95