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 $30.03 / $42.02 / $89.64	Professional		$30.03	$42.02	$89.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $49.14 / $65.43	Professional		$32.27	$49.14	$65.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.85 / $65.59 / $95.02	Facility		$33.85	$65.59	$95.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $65.98 / $72.54	Professional		$42.56	$65.98	$72.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $72.73	Professional		$32.34	$32.34	$72.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $453.28 / $895.93 / $1,259.20	Facility		$453.28	$895.93	$1,259.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $67.34 / $82.65	Professional		$55.13	$67.34	$82.65
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 $44.46 / $58.31 / $80.86	Professional		$44.46	$58.31	$80.86