Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.06 / $267.06 / $267.06	Facility		$267.06	$267.06	$267.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $152.51 / $239.91	Professional		$113.45	$152.51	$239.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.23 / $2,413.77 / $4,393.55	Facility		$978.23	$2,413.77	$4,393.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $181.91 / $220.81	Professional		$116.12	$181.91	$220.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $475.34 / $475.34 / $527.66	Professional		$475.34	$475.34	$527.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $252.68 / $361.93	Facility		$109.91	$252.68	$361.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $195.43 / $281.64	Professional		$169.72	$195.43	$281.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $77.45 / $185.99	Professional		$32.34	$77.45	$185.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,243.92 / $1,907.20 / $2,746.37	Facility		$1,243.92	$1,907.20	$2,746.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $221.25 / $281.64	Professional		$188.50	$221.25	$281.64
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $135.69 / $264.05	Professional		$115.13	$135.69	$264.05