Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.25 / $374.40 / $526.79	Facility		$67.25	$374.40	$526.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $112.01 / $374.61	Professional		$45.72	$112.01	$374.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $114.21 / $209.71	Professional		$51.05	$114.21	$209.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.78 / $369.78 / $501.37	Professional		$369.78	$369.78	$501.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $143.37 / $374.61	Facility		$45.28	$143.37	$374.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $185.74 / $225.42	Professional		$55.51	$185.74	$225.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $181.20	Professional		$32.34	$32.34	$181.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $394.79 / $562.28 / $688.91	Facility		$394.79	$562.28	$688.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $132.75 / $246.11	Professional		$67.65	$132.75	$246.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $17,585.00 / $18,758.00	Facility		$1,800.00	$17,585.00	$18,758.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $162.66 / $237.52	Professional		$124.15	$162.66	$237.52