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 $243.80 / $319.14 / $806.56	Professional		$243.80	$319.14	$806.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $442.29 / $442.29 / $2,704.50	Professional	50	$442.29	$442.29	$2,704.50
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $214.52 / $354.60 / $481.03	Professional	54	$214.52	$354.60	$481.03
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $42.90 / $70.92 / $96.21	Professional	55	$42.90	$70.92	$96.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.55 / $370.66 / $513.57	Professional		$232.55	$370.66	$513.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.27 / $505.60 / $830.16	Facility		$251.27	$505.60	$830.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.67 / $452.20 / $569.94	Professional		$291.67	$452.20	$569.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $515.50	Professional		$32.34	$32.34	$515.50
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 $381.84 / $471.21 / $595.17	Professional		$381.84	$471.21	$595.17
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 $322.62 / $408.15 / $585.91	Professional		$322.62	$408.15	$585.91