Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.19 / $492.80 / $1,090.46	Facility		$116.19	$492.80	$1,090.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $114.42 / $433.05	Professional		$59.38	$114.42	$433.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $148.51 / $390.81	Professional		$73.67	$148.51	$390.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $804.40 / $804.40 / $1,535.43	Professional		$804.40	$804.40	$1,535.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $211.83 / $433.05	Facility		$74.79	$211.83	$433.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.41 / $231.46 / $451.56	Professional		$93.41	$231.46	$451.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $136.37 / $400.65	Professional		$32.34	$136.37	$400.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $115.63 / $457.18	Professional		$88.49	$115.63	$457.18
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 $157.51 / $210.14 / $353.26	Professional		$157.51	$210.14	$353.26