Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.29 / $2,650.56 / $5,519.00	Facility		$896.29	$2,650.56	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.31 / $753.19 / $1,852.77	Professional		$263.31	$753.19	$1,852.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.64 / $676.52 / $1,500.01	Professional		$311.64	$676.52	$1,500.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.08 / $1,415.08 / $2,380.16	Professional		$1,415.08	$1,415.08	$2,380.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.83 / $798.38 / $2,721.00	Facility		$293.83	$798.38	$2,721.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.89 / $1,269.71 / $1,542.68	Professional		$393.89	$1,269.71	$1,542.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $460.35 / $1,362.89	Professional		$32.34	$460.35	$1,362.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $455.89 / $509.61 / $1,698.39	Professional		$455.89	$509.61	$1,698.39
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 $886.00 / $1,448.45 / $1,928.34	Professional		$886.00	$1,448.45	$1,928.34