Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.94 / $1,897.66 / $5,519.00	Facility		$1,513.94	$1,897.66	$5,519.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,640.13 / $3,640.13 / $5,874.45	Facility	50	$3,640.13	$3,640.13	$5,874.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $709.00 / $1,272.22	Professional		$519.99	$709.00	$1,272.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $787.82 / $835.47 / $1,015.17	Professional	50	$787.82	$835.47	$1,015.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.98 / $871.41 / $1,269.41	Professional		$574.98	$871.41	$1,269.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.96 / $1,150.63 / $1,692.00	Facility		$590.96	$1,150.63	$1,692.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $738.56 / $1,145.06 / $1,269.75	Professional		$738.56	$1,145.06	$1,269.75
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,253.11 / $1,253.11 / $1,253.11	Professional	50	$1,253.11	$1,253.11	$1,253.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,283.63	Professional		$32.34	$32.34	$1,283.63
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 $961.94 / $1,200.83 / $1,474.30	Professional		$961.94	$1,200.83	$1,474.30
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 $777.59 / $1,045.99 / $1,548.07	Professional		$777.59	$1,045.99	$1,548.07