Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.74 / $4,500.00 / $5,536.35	Facility		$1,119.74	$4,500.00	$5,536.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,119.74 / $4,652.39	Professional		$284.02	$1,119.74	$4,652.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.07 / $1,406.79 / $2,663.14	Professional		$398.07	$1,406.79	$2,663.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,061.65 / $3,061.65 / $3,177.40	Professional		$3,061.65	$3,061.65	$3,177.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.04 / $1,510.72 / $4,885.02	Facility		$395.04	$1,510.72	$4,885.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.45 / $884.88 / $3,040.58	Professional		$521.45	$884.88	$3,040.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $878.86 / $2,678.09	Professional		$32.34	$878.86	$2,678.09
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 $578.41 / $657.09 / $3,158.80	Professional		$578.41	$657.09	$3,158.80
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 $1,578.92 / $2,230.73 / $3,237.50	Professional		$1,578.92	$2,230.73	$3,237.50