Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $8,439.00 / $18,193.18	Facility		$4,415.00	$8,439.00	$18,193.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.39 / $920.63 / $1,721.34	Professional		$750.39	$920.63	$1,721.34
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $563.23 / $839.64 / $1,198.23	Professional	54	$563.23	$839.64	$1,198.23
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $112.65 / $172.07 / $239.65	Professional	55	$112.65	$172.07	$239.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.61 / $1,035.94 / $1,397.00	Professional		$625.61	$1,035.94	$1,397.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $700.41 / $1,559.85 / $2,172.78	Facility		$700.41	$1,559.85	$2,172.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $921.74 / $1,206.53 / $1,824.42	Professional		$921.74	$1,206.53	$1,824.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,302.36	Professional		$32.34	$32.34	$1,302.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,033.57 / $5,240.03 / $7,201.73	Facility		$4,033.57	$5,240.03	$7,201.73
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,050.36 / $8,634.02 / $11,010.72	Facility	50	$6,050.36	$8,634.02	$11,010.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,206.53 / $1,473.63 / $1,484.14	Professional		$1,206.53	$1,473.63	$1,484.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $5,550.00 / $12,233.00	Facility		$1,150.00	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.60 / $1,115.27 / $1,663.60	Professional		$805.60	$1,115.27	$1,663.60