Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.15 / $5,513.04 / $15,084.73	Facility		$1,398.15	$5,513.04	$15,084.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.86 / $664.79 / $1,333.00	Professional		$577.86	$664.79	$1,333.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $273.87 / $419.01 / $582.57	Professional	52	$273.87	$419.01	$582.57
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $454.65 / $613.85 / $873.85	Professional	54	$454.65	$613.85	$873.85
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $82.16 / $122.77 / $174.77	Professional	55	$82.16	$122.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.49 / $759.31 / $1,122.88	Professional		$503.49	$759.31	$1,122.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.67 / $1,122.27 / $1,572.34	Facility		$511.67	$1,122.27	$1,572.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $880.80 / $1,297.14	Professional		$535.05	$880.80	$1,297.14
Moda Health Facility/Professional Professional Modifier 54 Low / Median / High Price $374.54 / $374.54 / $374.54	Professional	54	$374.54	$374.54	$374.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $853.42	Professional		$32.34	$32.34	$853.42
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 $880.80 / $1,075.73 / $1,084.11	Professional		$880.80	$1,075.73	$1,084.11
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 $587.09 / $851.17 / $1,296.30	Professional		$587.09	$851.17	$1,296.30