Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.69 / $375.20 / $5,519.00	Facility		$117.69	$375.20	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $152.96 / $414.38	Professional		$68.26	$152.96	$414.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $177.44 / $337.13	Professional		$95.89	$177.44	$337.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $452.47 / $452.47 / $455.43	Professional		$452.47	$452.47	$455.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $195.44 / $439.24	Facility		$107.10	$195.44	$439.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.29 / $303.68 / $368.10	Professional		$115.29	$303.68	$368.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $110.76 / $330.08	Professional		$32.34	$110.76	$330.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $173.19 / $409.56	Professional		$143.96	$173.19	$409.56
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 $179.08 / $240.80 / $372.68	Professional		$179.08	$240.80	$372.68