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 $74.48 / $211.74 / $662.59	Professional		$74.48	$211.74	$662.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $245.38 / $540.80	Professional		$103.53	$245.38	$540.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $686.84 / $686.84 / $801.82	Professional		$686.84	$686.84	$801.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.75 / $291.85 / $662.59	Facility		$116.75	$291.85	$662.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $444.60 / $581.60	Professional		$130.22	$444.60	$581.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $172.40 / $517.37	Professional		$32.34	$172.40	$517.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $192.06 / $659.86	Professional		$161.96	$192.06	$659.86
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 $289.60 / $362.05 / $545.94	Professional		$289.60	$362.05	$545.94