Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.49 / $245.61 / $4,500.00	Facility		$198.49	$245.61	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $117.58 / $206.40	Professional		$92.56	$117.58	$206.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.47 / $173.79 / $173.79	Professional	50	$168.47	$173.79	$173.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $118.51 / $149.24	Professional		$84.56	$118.51	$149.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.26 / $156.11 / $234.19	Facility		$70.26	$156.11	$234.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $151.57 / $183.72	Professional		$98.89	$151.57	$183.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $166.28	Professional		$32.34	$32.34	$166.28
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 Facility Modifier 50 Low / Median / High Price $355.35 / $355.35 / $391.80	Facility	50	$355.35	$355.35	$391.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $158.63 / $192.62	Professional		$127.83	$158.63	$192.62
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 $98.80 / $140.40 / $210.55	Professional		$98.80	$140.40	$210.55