Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.26 / $411.26 / $411.26	Facility		$411.26	$411.26	$411.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $203.62 / $347.01	Professional		$146.25	$203.62	$347.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.23 / $2,413.77 / $4,393.55	Facility		$978.23	$2,413.77	$4,393.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $261.85 / $312.45	Professional		$144.29	$261.85	$312.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $480.74 / $480.74 / $533.66	Professional		$480.74	$480.74	$533.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $272.04 / $367.83	Facility		$138.24	$272.04	$367.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.05 / $301.76 / $352.58	Professional		$262.05	$301.76	$352.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.71 / $257.04	Professional		$32.34	$101.71	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,182.46 / $1,907.20 / $2,746.37	Facility		$1,182.46	$1,907.20	$2,746.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.95 / $341.13 / $397.28	Professional		$289.95	$341.13	$397.28
United Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $174.31 / $312.80	Professional		$154.66	$174.31	$312.80