Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $126.91 / $547.27	Professional		$37.03	$126.91	$547.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $169.99 / $312.14	Professional		$48.83	$169.99	$312.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.87 / $257.87 / $257.87	Professional		$257.87	$257.87	$257.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $128.03 / $547.27	Facility		$49.01	$128.03	$547.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $277.52 / $336.40	Professional		$58.18	$277.52	$336.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.91 / $300.26	Professional		$32.34	$100.91	$300.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $75.20 / $367.52	Professional		$70.55	$75.20	$367.52
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 $163.54 / $226.00 / $324.13	Professional		$163.54	$226.00	$324.13