Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.66 / $244.66 / $244.66	Facility		$244.66	$244.66	$244.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $110.23 / $228.54	Professional		$88.39	$110.23	$228.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.51 / $1,242.42 / $2,110.27	Facility		$503.51	$1,242.42	$2,110.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $170.85 / $213.56	Professional		$93.94	$170.85	$213.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $293.02 / $293.02 / $325.29	Professional		$293.02	$293.02	$325.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.37 / $196.76 / $256.18	Facility		$101.37	$196.76	$256.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $180.69 / $230.95	Professional		$156.91	$180.69	$230.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.39 / $152.91	Professional		$32.34	$46.39	$152.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $685.77 / $916.05 / $1,319.11	Facility		$685.77	$916.05	$1,319.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.68 / $205.50 / $261.36	Professional		$174.68	$205.50	$261.36
United Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $124.22 / $216.23	Professional		$103.13	$124.22	$216.23