Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $99.73 / $624.79	Facility		$49.61	$99.73	$624.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $53.37 / $53.37 / $55.98	Facility	50	$53.37	$53.37	$55.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $58.80 / $95.54	Professional		$32.20	$58.80	$95.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.65 / $73.05 / $139.43	Professional	50	$47.65	$73.05	$139.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.09 / $29.38 / $41.91	Professional	52	$21.09	$29.38	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $63.25 / $82.07	Professional		$46.28	$63.25	$82.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $62.82 / $93.97	Facility		$38.28	$62.82	$93.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $62.10 / $93.16	Professional		$51.23	$62.10	$93.16
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $77.06 / $77.06 / $77.06	Professional	50	$77.06	$77.06	$77.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.43	Professional		$32.34	$32.34	$75.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $154.29 / $191.70	Facility		$110.27	$154.29	$191.70
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $184.53 / $184.53 / $203.46	Facility	50	$184.53	$184.53	$203.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $53.22 / $77.11	Professional		$49.62	$53.22	$77.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $67.95 / $100.64	Professional		$46.24	$67.95	$100.64