Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $823.59 / $5,519.00	Facility		$453.60	$823.59	$5,519.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $840.99 / $840.99 / $840.99	Facility	50	$840.99	$840.99	$840.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $343.33 / $714.09	Professional		$269.14	$343.33	$714.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.08 / $493.94 / $562.74	Professional	50	$436.08	$493.94	$562.74
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $250.81 / $464.72 / $535.57	Professional	54	$250.81	$464.72	$535.57
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $50.16 / $77.53 / $107.11	Professional	55	$50.16	$77.53	$107.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.26 / $416.35 / $566.29	Professional		$259.26	$416.35	$566.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $568.50 / $807.25	Facility		$277.95	$568.50	$807.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $319.91 / $527.85 / $597.76	Professional		$319.91	$527.85	$597.76
Moda Health Facility/Professional Professional Modifier 54 Low / Median / High Price $305.16 / $305.16 / $305.16	Professional	54	$305.16	$305.16	$305.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $579.23	Professional		$32.34	$32.34	$579.23
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 $502.89 / $619.17 / $665.17	Professional		$502.89	$619.17	$665.17
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 $328.00 / $469.42 / $651.44	Professional		$328.00	$469.42	$651.44