Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.17 / $2,611.51 / $4,500.00	Facility		$608.17	$2,611.51	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $511.08 / $1,202.58	Professional		$136.21	$511.08	$1,202.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.32 / $453.77 / $1,230.50	Professional		$204.32	$453.77	$1,230.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.41 / $1,151.41 / $1,375.77	Professional		$1,151.41	$1,151.41	$1,375.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.04 / $654.17 / $2,304.28	Facility		$189.04	$654.17	$2,304.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $447.41 / $1,307.44	Professional		$263.64	$447.41	$1,307.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $536.45 / $1,162.32	Professional		$32.34	$536.45	$1,162.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,821.96 / $3,897.74 / $4,961.97	Facility		$1,821.96	$3,897.74	$4,961.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $338.58 / $1,418.32	Professional		$309.93	$338.58	$1,418.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.84 / $828.66 / $1,260.33	Professional		$614.84	$828.66	$1,260.33