Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.92 / $1,407.00 / $7,045.00	Facility		$56.92	$1,407.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $133.96 / $361.50	Professional		$37.75	$133.96	$361.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $149.40 / $289.12	Professional		$51.10	$149.40	$289.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $391.32 / $391.32 / $519.42	Professional		$391.32	$391.32	$519.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.17 / $118.06 / $379.58	Facility		$41.17	$118.06	$379.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $108.70 / $333.16	Professional		$64.05	$108.70	$333.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $95.82 / $296.60	Professional		$32.34	$95.82	$296.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $95.45 / $386.81	Professional		$79.31	$95.45	$386.81
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 $161.68 / $211.12 / $320.73	Professional		$161.68	$211.12	$320.73