Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.09 / $565.29 / $3,832.58	Facility		$247.09	$565.29	$3,832.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $202.55 / $475.04	Professional		$79.90	$202.55	$475.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $192.03 / $339.17	Professional		$112.03	$192.03	$339.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $444.87 / $444.87 / $540.73	Professional		$444.87	$444.87	$540.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $267.24 / $497.66	Facility		$97.40	$267.24	$497.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $293.55 / $394.96	Professional		$131.84	$293.55	$394.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.20 / $319.43	Professional		$32.34	$103.20	$319.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $198.60 / $407.82	Professional		$163.96	$198.60	$407.82
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 $204.27 / $287.30 / $418.85	Professional		$204.27	$287.30	$418.85