Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $153.33 / $153.33	Facility		$153.33	$153.33	$153.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $71.73 / $124.20	Professional		$50.86	$71.73	$124.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.68 / $1,629.78 / $3,027.19	Facility		$660.68	$1,629.78	$3,027.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $91.75 / $108.77	Professional		$49.48	$91.75	$108.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $185.00 / $205.37	Professional		$185.00	$185.00	$205.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.16 / $94.31 / $136.62	Facility		$52.16	$94.31	$136.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $113.09 / $132.13	Professional		$98.21	$113.09	$132.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $32.34 / $84.88	Professional		$27.74	$32.34	$84.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $237.55 / $1,224.19 / $1,892.27	Facility		$237.55	$1,224.19	$1,892.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $127.41 / $144.59	Professional		$108.30	$127.41	$144.59
United Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $60.42 / $108.12	Professional		$54.32	$60.42	$108.12