Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $81.37	Facility		$81.37	$81.37	$81.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $39.85 / $66.56	Professional		$29.72	$39.85	$66.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $273.04 / $498.63	Facility		$110.60	$273.04	$498.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $51.30 / $60.21	Professional		$29.22	$51.30	$60.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $108.03 / $119.92	Professional		$108.03	$108.03	$119.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $57.87 / $73.23	Facility		$28.86	$57.87	$73.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $60.23 / $70.37	Professional		$52.31	$60.23	$70.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $32.34 / $56.67	Professional		$14.61	$32.34	$56.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $206.06 / $311.69	Facility		$134.19	$206.06	$311.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $67.81 / $77.09	Professional		$57.65	$67.81	$77.09
United Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $35.72 / $63.91	Professional		$30.08	$35.72	$63.91