Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.12 / $4,500.00 / $8,330.34	Facility		$217.12	$4,500.00	$8,330.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $172.25 / $798.77	Professional		$47.13	$172.25	$798.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $274.87 / $524.77	Professional		$61.86	$274.87	$524.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.97 / $676.97 / $1,236.76	Professional		$676.97	$676.97	$1,236.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $264.30 / $798.77	Facility		$72.84	$264.30	$798.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $385.34 / $474.54	Professional		$74.73	$385.34	$474.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $140.43 / $414.51	Professional		$32.34	$140.43	$414.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $97.22 / $522.74	Professional		$88.16	$97.22	$522.74
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 $304.60 / $464.40 / $701.76	Professional		$304.60	$464.40	$701.76