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 $54.46 / $117.07 / $288.75	Professional		$54.46	$117.07	$288.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $115.51 / $219.15	Professional		$65.02	$115.51	$219.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.49 / $354.49 / $413.84	Professional		$354.49	$354.49	$413.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $195.02 / $396.14	Facility		$65.28	$195.02	$396.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $199.62 / $241.96	Professional		$81.13	$199.62	$241.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.16	Professional		$32.34	$32.34	$194.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $101.09 / $236.75	Professional		$77.75	$101.09	$236.75
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 $120.54 / $173.68 / $247.16	Professional		$120.54	$173.68	$247.16