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 $59.15 / $83.14 / $112.32	Professional		$59.15	$83.14	$112.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.51 / $108.51 / $225.04	Professional	50	$108.51	$108.51	$225.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $74.84 / $114.85	Professional		$52.84	$74.84	$114.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $98.87 / $172.57	Facility		$48.26	$98.87	$172.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $81.13 / $98.34	Professional		$58.00	$81.13	$98.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $89.99	Professional		$32.34	$32.34	$89.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $525.14 / $722.66 / $882.81	Facility		$525.14	$722.66	$882.81
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $760.32 / $1,083.99 / $1,376.42	Facility	50	$760.32	$1,083.99	$1,376.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $92.64 / $101.97	Professional		$76.94	$92.64	$101.97
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $1,800.00 / $9,193.00	Facility		$180.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $112.22 / $178.44	Professional		$68.78	$112.22	$178.44