Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.47 / $1,548.29 / $5,519.00	Facility		$1,223.47	$1,548.29	$5,519.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,442.50 / $3,442.50 / $3,442.50	Facility	50	$3,442.50	$3,442.50	$3,442.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $650.46 / $1,301.08	Professional		$428.62	$650.46	$1,301.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.71 / $1,181.43 / $1,492.96	Professional	50	$1,141.71	$1,181.43	$1,492.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.38 / $705.82 / $1,034.17	Professional		$465.38	$705.82	$1,034.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $476.52 / $1,012.44 / $1,379.16	Facility		$476.52	$1,012.44	$1,379.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $596.28 / $924.46 / $1,072.50	Professional		$596.28	$924.46	$1,072.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,047.72	Professional		$32.34	$32.34	$1,047.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,884.56 / $5,546.60 / $7,080.21	Facility		$3,884.56	$5,546.60	$7,080.21
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,407.41 / $8,319.90 / $11,041.11	Facility	50	$5,407.41	$8,319.90	$11,041.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.73 / $979.00 / $1,201.70	Professional		$776.73	$979.00	$1,201.70
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 $636.47 / $820.99 / $1,175.16	Professional		$636.47	$820.99	$1,175.16