Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.53 / $203.53 / $203.53	Facility		$203.53	$203.53	$203.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $103.31 / $173.97	Professional		$81.63	$103.31	$173.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $776.70 / $1,344.59	Facility		$314.62	$776.70	$1,344.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $130.69 / $157.26	Professional		$82.38	$130.69	$157.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $212.01 / $235.35	Professional		$212.01	$212.01	$235.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.18 / $173.85 / $220.01	Facility		$84.18	$173.85	$220.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $149.97 / $183.06	Professional		$130.22	$149.97	$183.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.39 / $127.21	Professional		$32.34	$46.39	$127.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.21 / $586.01 / $887.19	Facility		$468.21	$586.01	$887.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $169.88 / $199.08	Professional		$144.40	$169.88	$199.08
United Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $87.02 / $155.72	Professional		$76.58	$87.02	$155.72