Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.48 / $485.68 / $5,519.00	Facility		$194.48	$485.68	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.40 / $304.05 / $691.97	Professional		$121.40	$304.05	$691.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $269.45 / $482.92	Professional		$160.87	$269.45	$482.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $578.74 / $578.74 / $593.53	Professional		$578.74	$578.74	$593.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.04 / $319.25 / $726.57	Facility		$139.04	$319.25	$726.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.74 / $328.78 / $524.02	Professional		$193.74	$328.78	$524.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $156.40 / $471.33	Professional		$32.34	$156.40	$471.33
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 $239.94 / $290.61 / $579.54	Professional		$239.94	$290.61	$579.54
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 $285.47 / $381.99 / $577.51	Professional		$285.47	$381.99	$577.51