Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $102.72 / $210.84	Professional		$86.76	$102.72	$210.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.09 / $140.09 / $140.09	Professional	50	$140.09	$140.09	$140.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $122.76 / $172.21	Professional		$80.11	$122.76	$172.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.03 / $195.64 / $247.70	Facility		$95.03	$195.64	$247.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $166.52 / $193.44	Professional		$124.77	$166.52	$193.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.46	Professional		$32.34	$32.34	$182.46
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 $160.75 / $199.95 / $209.28	Professional		$160.75	$199.95	$209.28
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 $109.82 / $148.91 / $208.09	Professional		$109.82	$148.91	$208.09