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 $266.68 / $1,338.20 / $4,005.74	Professional		$266.68	$1,338.20	$4,005.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.47 / $1,135.18 / $2,387.55	Professional		$319.47	$1,135.18	$2,387.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,903.79 / $1,903.79 / $1,933.36	Professional		$1,903.79	$1,903.79	$1,933.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.26 / $1,183.55 / $4,206.03	Facility		$319.26	$1,183.55	$4,206.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.15 / $675.64 / $2,365.17	Professional		$398.15	$675.64	$2,365.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $709.79 / $2,098.10	Professional		$32.34	$709.79	$2,098.10
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 Professional Modifier Low / Median / High Price $468.17 / $517.22 / $2,628.61	Professional		$468.17	$517.22	$2,628.61
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 $1,434.92 / $1,944.00 / $2,942.23	Professional		$1,434.92	$1,944.00	$2,942.23