Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.54 / $824.54 / $1,229.00	Facility		$824.54	$824.54	$1,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $638.00 / $1,085.80	Professional		$425.00	$638.00	$1,085.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.17 / $783.62 / $943.48	Facility		$379.17	$783.62	$943.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.94 / $332.99 / $774.77	Professional		$297.94	$332.99	$774.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.74 / $1,852.74 / $2,056.71	Professional		$1,852.74	$1,852.74	$2,056.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,026.20 / $1,302.96	Facility		$425.00	$1,026.20	$1,302.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $609.04 / $835.46	Professional		$528.91	$609.04	$835.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $144.09 / $456.44	Professional		$32.34	$144.09	$456.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $614.86 / $723.36 / $835.47	Professional		$614.86	$723.36	$835.47
United Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $443.82 / $966.42	Professional		$341.43	$443.82	$966.42