Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $145.49 / $452.52	Professional		$45.38	$145.49	$452.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $170.97 / $363.90	Professional		$54.78	$170.97	$363.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $273.25 / $273.25 / $319.00	Professional		$273.25	$273.25	$319.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $195.59 / $452.52	Facility		$58.54	$195.59	$452.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $299.52 / $400.44	Professional		$70.45	$299.52	$400.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $119.92 / $357.24	Professional		$32.34	$119.92	$357.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $106.60 / $449.55	Professional		$87.98	$106.60	$449.55
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 $162.80 / $236.04 / $358.99	Professional		$162.80	$236.04	$358.99