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 $263.95 / $1,261.43 / $3,708.26	Professional		$263.95	$1,261.43	$3,708.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.63 / $1,091.98 / $2,143.90	Professional		$349.63	$1,091.98	$2,143.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.52 / $1,866.52 / $1,895.51	Professional		$1,866.52	$1,866.52	$1,895.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.90 / $1,149.34 / $3,893.67	Facility		$350.90	$1,149.34	$3,893.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.99 / $765.32 / $2,308.23	Professional		$450.99	$765.32	$2,308.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $682.09 / $2,037.48	Professional		$32.34	$682.09	$2,037.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,746.02 / $7,934.73 / $9,934.86	Facility		$5,746.02	$7,934.73	$9,934.86
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,327.43 / $11,902.10 / $15,060.54	Facility	50	$8,327.43	$11,902.10	$15,060.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $511.63 / $575.73 / $2,480.12	Professional		$511.63	$575.73	$2,480.12
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.99 / $1,909.81 / $2,885.93	Professional		$1,282.99	$1,909.81	$2,885.93