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 $128.15 / $220.22 / $475.67	Professional		$128.15	$220.22	$475.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $282.24 / $282.24 / $282.24	Professional	50	$282.24	$282.24	$282.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $227.65 / $347.30	Professional		$157.44	$227.65	$347.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.61 / $293.64 / $494.21	Facility		$136.61	$293.64	$494.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.63 / $282.70 / $373.45	Professional		$208.63	$282.70	$373.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $375.51	Professional		$32.34	$32.34	$375.51
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 $235.30 / $290.86 / $437.22	Professional		$235.30	$290.86	$437.22
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 $186.62 / $289.58 / $397.41	Professional		$186.62	$289.58	$397.41