Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.73 / $280.73 / $280.73	Facility		$280.73	$280.73	$280.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $146.58 / $241.33	Professional		$103.49	$146.58	$241.33
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 $96.18 / $174.66 / $217.12	Professional		$96.18	$174.66	$217.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.79 / $326.79 / $362.77	Professional		$326.79	$326.79	$362.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $194.20 / $265.45	Facility		$99.58	$194.20	$265.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.92 / $208.34 / $243.42	Professional		$180.92	$208.34	$243.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $32.57 / $175.46	Professional		$29.23	$32.57	$175.46
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 $202.05 / $237.70 / $275.27	Professional		$202.05	$237.70	$275.27
United Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $120.08 / $214.87	Professional		$100.88	$120.08	$214.87