Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.32 / $4,500.00 / $8,637.82	Facility		$222.32	$4,500.00	$8,637.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $206.58 / $513.29	Professional		$70.76	$206.58	$513.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $181.69 / $335.35	Professional		$88.00	$181.69	$335.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.76 / $436.76 / $569.23	Professional		$436.76	$436.76	$569.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $211.74 / $538.95	Facility		$79.48	$211.74	$538.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $184.04 / $328.64	Professional		$111.01	$184.04	$328.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $134.50 / $291.41	Professional		$32.34	$134.50	$291.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $143.38 / $341.25	Professional		$128.82	$143.38	$341.25
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 $204.44 / $301.27 / $399.87	Professional		$204.44	$301.27	$399.87