Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $242.97 / $370.98	Professional		$186.90	$242.97	$370.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.35 / $289.72 / $349.93	Professional		$188.35	$289.72	$349.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $582.32 / $582.32 / $622.65	Professional		$582.32	$582.32	$622.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $322.35 / $413.44	Facility		$189.91	$322.35	$413.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.75 / $341.72 / $359.70	Professional		$296.75	$341.72	$359.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $150.75 / $326.63	Professional		$32.34	$150.75	$326.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $266.41 / $281.83 / $347.49	Professional		$266.41	$281.83	$347.49
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 $194.52 / $269.50 / $398.85	Professional		$194.52	$269.50	$398.85