Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $1,929.90 / $4,636.18	Facility		$193.31	$1,929.90	$4,636.18
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $82.22 / $82.22 / $150.51	Facility	52	$82.22	$82.22	$150.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.89 / $82.29 / $180.87	Facility	53	$32.89	$82.29	$180.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $278.35 / $438.41	Professional		$161.10	$278.35	$438.41
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $32.89 / $80.55 / $164.80	Professional	53	$32.89	$80.55	$164.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $106.08 / $106.08 / $267.63	Professional	53	$106.08	$106.08	$267.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.10 / $301.45 / $431.09	Facility		$161.10	$301.45	$431.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $292.48 / $366.99 / $655.34	Professional		$292.48	$366.99	$655.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $263.25 / $526.77	Professional		$30.00	$263.25	$526.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,272.32 / $1,853.08 / $2,769.18	Facility		$1,272.32	$1,853.08	$2,769.18
Regence BlueShield Facility/Professional Facility Modifier 53 Low / Median / High Price $1,539.68 / $1,539.68 / $1,539.68	Facility	53	$1,539.68	$1,539.68	$1,539.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.24 / $391.31 / $506.95	Professional		$250.24	$391.31	$506.95
Regence BlueShield Facility/Professional Professional Modifier 53 Low / Median / High Price $124.74 / $194.95 / $253.23	Professional	53	$124.74	$194.95	$253.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.94 / $507.49 / $780.77	Professional		$319.94	$507.49	$780.77
United Facility/Professional Professional Modifier 53 Low / Median / High Price $106.65 / $106.65 / $232.70	Professional	53	$106.65	$106.65	$232.70