Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $200.38 / $290.26	Professional		$94.85	$200.38	$290.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $205.29 / $367.25	Professional		$122.63	$205.29	$367.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $500.77 / $500.77 / $603.54	Professional		$500.77	$500.77	$603.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.68 / $221.73 / $319.29	Facility		$116.68	$221.73	$319.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $277.24 / $448.96	Professional		$158.52	$277.24	$448.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $131.13 / $405.56	Professional		$32.34	$131.13	$405.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $285.44 / $342.53 / $499.49	Facility		$285.44	$342.53	$499.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $146.76 / $208.35 / $364.96	Professional		$146.76	$208.35	$364.96
United Facility/Professional Professional Modifier Low / Median / High Price $221.59 / $294.01 / $417.52	Professional		$221.59	$294.01	$417.52