Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.51 / $3,826.40 / $5,275.80	Facility		$1,069.51	$3,826.40	$5,275.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,219.20 / $7,219.20 / $7,219.20	Facility	50	$7,219.20	$7,219.20	$7,219.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.77 / $1,517.96 / $2,747.28	Professional		$304.77	$1,517.96	$2,747.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.87 / $1,254.35 / $2,614.00	Professional		$372.87	$1,254.35	$2,614.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.59 / $1,876.59 / $4,212.50	Professional		$1,876.59	$1,876.59	$4,212.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $349.75 / $1,024.58 / $4,433.45	Facility		$349.75	$1,024.58	$4,433.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $464.87 / $2,161.02 / $2,635.72	Professional		$464.87	$2,161.02	$2,635.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $784.18 / $2,326.12	Professional		$32.34	$784.18	$2,326.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $546.16 / $603.77 / $2,899.81	Professional		$546.16	$603.77	$2,899.81
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 $1,560.15 / $2,319.79 / $3,407.19	Professional		$1,560.15	$2,319.79	$3,407.19