Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $92.71 / $92.71	Facility		$92.71	$92.71	$92.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $45.49 / $75.65	Professional		$36.08	$45.49	$75.65
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 $36.71 / $57.25 / $68.14	Professional		$36.71	$57.25	$68.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $67.52 / $74.95	Professional		$67.52	$67.52	$74.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $72.06 / $89.25	Facility		$36.82	$72.06	$89.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $68.84 / $80.43	Professional		$59.78	$68.84	$80.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $32.34 / $57.94	Professional		$12.97	$32.34	$57.94
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 $65.79 / $77.40 / $87.67	Professional		$65.79	$77.40	$87.67
United Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $41.19 / $85.39	Professional		$36.45	$41.19	$85.39