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 $100.40 / $266.89 / $1,592.90	Professional		$100.40	$266.89	$1,592.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $275.00 / $872.50	Professional		$122.45	$275.00	$872.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $743.93 / $743.93 / $889.86	Professional		$743.93	$743.93	$889.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.92 / $307.67 / $1,592.90	Facility		$110.92	$307.67	$1,592.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.77 / $773.36 / $942.84	Professional		$138.77	$773.36	$942.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $282.67 / $829.94	Professional		$32.34	$282.67	$829.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $180.72 / $1,040.05	Professional		$161.47	$180.72	$1,040.05
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 $492.98 / $655.67 / $977.29	Professional		$492.98	$655.67	$977.29