Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $49.35 / $86.82	Professional		$39.14	$49.35	$86.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $60.47 / $72.92	Professional		$44.99	$60.47	$72.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $118.16 / $137.94	Professional		$118.16	$118.16	$137.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $84.63 / $395.21	Facility		$38.97	$84.63	$395.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $70.68 / $74.40	Professional		$61.38	$70.68	$74.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $67.61	Professional		$32.34	$32.34	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $58.82 / $71.51	Professional		$55.60	$58.82	$71.51
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 $40.42 / $58.24 / $87.00	Professional		$40.42	$58.24	$87.00