Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.76 / $4,500.00 / $7,045.00	Facility		$469.76	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $89.93 / $397.77	Professional		$29.14	$89.93	$397.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $135.28 / $269.93	Professional		$39.54	$135.28	$269.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $214.17 / $250.03	Professional		$214.17	$214.17	$250.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.17 / $127.03 / $405.73	Facility		$41.17	$127.03	$405.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $213.49 / $258.77	Professional		$47.50	$213.49	$258.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $76.86 / $231.27	Professional		$32.34	$76.86	$231.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $391.06 / $635.64 / $778.79	Facility		$391.06	$635.64	$778.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $61.62 / $273.64	Professional		$57.88	$61.62	$273.64
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 $156.63 / $230.85 / $358.68	Professional		$156.63	$230.85	$358.68