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 $69.31 / $171.53 / $746.58	Professional		$69.31	$171.53	$746.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $194.13 / $518.16	Professional		$83.88	$194.13	$518.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $377.88 / $377.88 / $441.14	Professional		$377.88	$377.88	$441.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $210.91 / $783.91	Facility		$68.31	$210.91	$783.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $179.34 / $600.36	Professional		$105.68	$179.34	$600.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $179.49 / $534.20	Professional		$32.34	$179.49	$534.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,231.43 / $1,594.64 / $2,085.51	Facility		$1,231.43	$1,594.64	$2,085.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,672.58 / $2,391.96 / $3,227.61	Facility	50	$1,672.58	$2,391.96	$3,227.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $130.86 / $602.63	Professional		$99.74	$130.86	$602.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.01 / $278.89 / $470.15	Professional		$189.01	$278.89	$470.15