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 $350.02 / $1,453.86 / $4,308.27	Professional		$350.02	$1,453.86	$4,308.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.27 / $956.47 / $2,536.48	Professional		$439.27	$956.47	$2,536.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.16 / $1,384.16 / $2,175.03	Professional		$1,384.16	$1,384.16	$2,175.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.94 / $1,359.54 / $4,523.68	Facility		$444.94	$1,359.54	$4,523.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $557.73 / $946.46 / $2,571.54	Professional		$557.73	$946.46	$2,571.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $767.77 / $2,274.27	Professional		$32.34	$767.77	$2,274.27
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 $642.16 / $723.56 / $2,829.29	Professional		$642.16	$723.56	$2,829.29
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 $1,545.00 / $2,203.51 / $3,224.55	Professional		$1,545.00	$2,203.51	$3,224.55