Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.00 / $1,229.00 / $1,229.00	Facility		$1,229.00	$1,229.00	$1,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.05 / $475.00 / $1,162.45	Professional		$431.05	$475.00	$1,162.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $228.57 / $273.04	Facility		$110.60	$228.57	$273.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.35 / $362.50 / $743.63	Professional		$324.35	$362.50	$743.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,446.27 / $1,446.27 / $1,605.50	Professional		$1,446.27	$1,446.27	$1,605.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $905.57 / $1,278.70	Facility		$475.00	$905.57	$1,278.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.55 / $463.55 / $882.09	Professional		$463.55	$463.55	$882.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $115.24 / $695.33	Professional		$30.00	$115.24	$695.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.19 / $216.45 / $319.48	Facility		$174.19	$216.45	$319.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $594.30 / $739.11 / $743.97	Professional		$594.30	$739.11	$743.97
United Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $455.23 / $869.26	Professional		$367.50	$455.23	$869.26