Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $577.78 / $1,847.54	Professional		$149.81	$577.78	$1,847.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $372.52 / $1,039.98	Professional		$187.10	$372.52	$1,039.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $988.52 / $988.52 / $1,084.93	Professional		$988.52	$988.52	$1,084.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $471.61 / $1,847.54	Facility		$168.21	$471.61	$1,847.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $899.32 / $1,094.88	Professional		$218.82	$899.32	$1,094.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $864.55	Professional		$32.34	$32.34	$864.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.35 / $280.42 / $1,208.20	Professional		$250.35	$280.42	$1,208.20
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 $608.11 / $943.60 / $1,346.71	Professional		$608.11	$943.60	$1,346.71