Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.55 / $2,838.09 / $4,920.05	Facility		$201.55	$2,838.09	$4,920.05
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $82.29 / $82.29 / $150.58	Facility	52	$82.29	$82.29	$150.58
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.92 / $82.44 / $190.63	Facility	53	$32.92	$82.44	$190.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $276.44 / $466.62	Professional		$161.24	$276.44	$466.62
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $32.92 / $80.69 / $166.44	Professional	53	$32.92	$80.69	$166.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $106.08 / $106.08 / $268.16	Professional	53	$106.08	$106.08	$268.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.24 / $301.60 / $435.73	Facility		$161.24	$301.60	$435.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $293.01 / $367.35 / $655.98	Professional		$293.01	$367.35	$655.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $263.52 / $587.26	Professional		$30.00	$263.52	$587.26
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 $250.59 / $391.51 / $507.45	Professional		$250.59	$391.51	$507.45
Regence BlueShield Facility/Professional Professional Modifier 53 Low / Median / High Price $125.20 / $195.33 / $253.73	Professional	53	$125.20	$195.33	$253.73
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 $358.33 / $516.96 / $825.81	Professional		$358.33	$516.96	$825.81
United Facility/Professional Professional Modifier 53 Low / Median / High Price $106.65 / $106.65 / $232.70	Professional	53	$106.65	$106.65	$232.70