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 $71.56 / $109.32 / $272.14	Professional		$71.56	$109.32	$272.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $125.71 / $203.20	Professional		$90.35	$125.71	$203.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.41 / $263.41 / $307.50	Professional		$263.41	$263.41	$307.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $175.20 / $450.58	Facility		$88.71	$175.20	$450.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $186.73 / $228.36	Professional		$112.61	$186.73	$228.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.59 / $205.24	Professional		$32.34	$67.59	$205.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $139.16 / $223.74	Professional		$105.88	$139.16	$223.74
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 $111.52 / $153.00 / $223.04	Professional		$111.52	$153.00	$223.04