Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $756.12 / $5,190.50	Facility		$346.74	$756.12	$5,190.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $291.38 / $635.40	Professional		$120.49	$291.38	$635.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $253.42 / $444.49	Professional		$153.77	$253.42	$444.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $534.07 / $534.07 / $613.12	Professional		$534.07	$534.07	$613.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $305.95 / $667.17	Facility		$133.57	$305.95	$667.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.74 / $315.20 / $480.02	Professional		$185.74	$315.20	$480.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $143.66 / $432.10	Professional		$32.34	$143.66	$432.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,442.94 / $1,983.04 / $2,470.40	Facility		$1,442.94	$1,983.04	$2,470.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $278.93 / $533.15	Professional		$231.28	$278.93	$533.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $343.00 / $524.74	Professional		$258.77	$343.00	$524.74