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 $108.01 / $146.84 / $259.01	Professional		$108.01	$146.84	$259.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $167.67 / $227.97	Professional		$101.25	$167.67	$227.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.40 / $215.98 / $308.27	Facility		$103.40	$215.98	$308.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.72 / $214.02 / $236.78	Professional		$152.72	$214.02	$236.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $234.59	Professional		$32.34	$32.34	$234.59
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 $196.72 / $242.61 / $268.60	Professional		$196.72	$242.61	$268.60
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 $136.44 / $173.42 / $254.80	Professional		$136.44	$173.42	$254.80