Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $92.98 / $128.71	Professional		$54.15	$92.98	$128.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $88.25 / $112.59	Professional		$63.47	$88.25	$112.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.64 / $232.64 / $271.58	Professional		$232.64	$232.64	$271.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $117.28 / $625.75	Facility		$58.19	$117.28	$625.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $95.57 / $111.92	Professional		$82.19	$95.57	$111.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $91.56	Professional		$32.34	$32.34	$91.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $101.97 / $117.97	Professional		$84.43	$101.97	$117.97
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 $64.95 / $86.50 / $133.19	Professional		$64.95	$86.50	$133.19