Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.75 / $1,431.78 / $5,519.00	Facility		$352.75	$1,431.78	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $123.89 / $294.69	Professional		$68.03	$123.89	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $123.01 / $216.30	Professional		$82.35	$123.01	$216.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.26 / $305.26 / $1,544.10	Professional		$305.26	$305.26	$1,544.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $144.36 / $294.69	Facility		$64.37	$144.36	$294.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $203.87 / $247.12	Professional		$104.08	$203.87	$247.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.19 / $221.21	Professional		$32.34	$73.19	$221.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $128.09 / $241.33	Professional		$97.70	$128.09	$241.33
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 $122.95 / $161.21 / $247.94	Professional		$122.95	$161.21	$247.94