Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $148.96 / $148.96	Facility		$148.96	$148.96	$148.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $121.36 / $124.15	Professional		$52.22	$121.36	$124.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.51 / $1,242.42 / $2,110.27	Facility		$503.51	$1,242.42	$2,110.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $101.04 / $165.59	Professional		$71.64	$101.04	$165.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.36 / $213.36 / $236.85	Professional		$213.36	$213.36	$236.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $141.59 / $393.40	Facility		$60.70	$141.59	$393.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.41 / $107.56 / $140.44	Professional		$93.41	$107.56	$140.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $103.74	Professional		$32.34	$32.34	$103.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $738.70 / $1,007.66 / $1,535.70	Facility		$738.70	$1,007.66	$1,535.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.15 / $117.82 / $140.44	Professional		$100.15	$117.82	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $94.62 / $175.13	Professional		$62.07	$94.62	$175.13