Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $42.34 / $61.33	Professional		$20.26	$42.34	$61.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $28.28 / $60.44	Professional	50	$14.55	$28.28	$60.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $35.60 / $60.62	Professional		$23.66	$35.60	$60.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $47.00 / $105.70	Facility		$20.97	$47.00	$105.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $35.22 / $42.70	Professional		$23.36	$35.22	$42.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $32.34 / $33.36	Professional		$29.94	$32.34	$33.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.28 / $312.54 / $387.23	Facility		$230.28	$312.54	$387.23
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $355.35 / $355.35 / $391.80	Facility	50	$355.35	$355.35	$391.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $37.32 / $43.99	Professional		$31.76	$37.32	$43.99
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 $28.50 / $53.64 / $99.09	Professional		$28.50	$53.64	$99.09