Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.05 / $362.44 / $5,519.00	Facility		$222.05	$362.44	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $232.77 / $358.05	Professional		$130.16	$232.77	$358.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $290.77 / $351.71 / $590.78	Professional	50	$290.77	$351.71	$590.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $245.90 / $342.43	Professional		$179.93	$245.90	$342.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.11 / $256.70 / $379.53	Facility		$168.11	$256.70	$379.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $260.72 / $390.74	Professional		$215.09	$260.72	$390.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $277.27 / $348.84	Professional		$32.34	$277.27	$348.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $877.58 / $1,243.46 / $1,667.05	Facility		$877.58	$1,243.46	$1,667.05
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,280.06 / $1,865.19 / $2,599.65	Facility	50	$1,280.06	$1,865.19	$2,599.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $215.34 / $328.42	Professional		$205.62	$215.34	$328.42
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 $202.82 / $279.22 / $412.76	Professional		$202.82	$279.22	$412.76