Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $3,448.00 / $7,205.00	Facility		$1,628.00	$3,448.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.56 / $1,924.10 / $5,452.81	Professional		$317.56	$1,924.10	$5,452.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.59 / $1,599.44 / $3,217.58	Professional		$402.59	$1,599.44	$3,217.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,572.48 / $2,572.48 / $2,671.24	Professional		$2,572.48	$2,572.48	$2,671.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.10 / $1,110.95 / $5,452.81	Facility		$366.10	$1,110.95	$5,452.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $532.11 / $2,868.20 / $3,476.60	Professional		$532.11	$2,868.20	$3,476.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,000.02 / $3,072.05	Professional		$32.34	$1,000.02	$3,072.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $595.97 / $666.06 / $3,631.37	Professional		$595.97	$666.06	$3,631.37
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 $1,946.67 / $2,918.25 / $4,600.14	Professional		$1,946.67	$2,918.25	$4,600.14