Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.26 / $4,500.00 / $4,596.85	Facility		$843.26	$4,500.00	$4,596.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $20,520.00 / $20,520.00 / $20,520.00	Facility	50	$20,520.00	$20,520.00	$20,520.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $708.63 / $3,583.89	Professional		$231.25	$708.63	$3,583.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.01 / $1,095.01 / $2,269.10	Professional		$293.01	$1,095.01	$2,269.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,697.52 / $1,697.52 / $1,732.19	Professional		$1,697.52	$1,697.52	$1,732.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.83 / $807.84 / $3,862.90	Facility		$262.83	$807.84	$3,862.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $369.86 / $1,887.77 / $2,303.63	Professional		$369.86	$1,887.77	$2,303.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $684.85 / $2,029.33	Professional		$32.34	$684.85	$2,029.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $430.57 / $473.69 / $2,536.40	Professional		$430.57	$473.69	$2,536.40
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 $1,378.26 / $1,915.74 / $2,645.65	Professional		$1,378.26	$1,915.74	$2,645.65