Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.99 / $4,500.00 / $7,205.00	Facility		$840.99	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $306.87 / $572.00	Professional		$243.49	$306.87	$572.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $185.99 / $330.94 / $396.71	Professional	54	$185.99	$330.94	$396.71
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $37.20 / $57.66 / $79.34	Professional	55	$37.20	$57.66	$79.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.96 / $309.22 / $389.69	Professional		$228.96	$309.22	$389.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.89 / $463.31 / $684.78	Facility		$204.89	$463.31	$684.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $388.01 / $470.32	Professional		$254.12	$388.01	$470.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $427.30	Professional		$32.34	$32.34	$427.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,042.08 / $1,394.94 / $1,770.12	Facility		$1,042.08	$1,394.94	$1,770.12
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,466.24 / $2,092.41 / $2,746.44	Facility	50	$1,466.24	$2,092.41	$2,746.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $333.53 / $405.90 / $487.21	Professional		$333.53	$405.90	$487.21
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,620.00 / $4,441.00	Facility		$350.00	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.66 / $367.04 / $588.13	Professional		$267.66	$367.04	$588.13