Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $203.03 / $322.61	Professional		$153.97	$203.03	$322.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $251.61 / $303.41	Professional		$175.86	$251.61	$303.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $492.89 / $492.89 / $547.16	Professional		$492.89	$492.89	$547.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $308.92 / $387.13	Facility		$149.37	$308.92	$387.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $341.00 / $396.14	Professional		$341.00	$341.00	$396.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.84 / $3,900.00	Professional		$32.34	$80.84	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $327.43 / $327.43	Professional		$278.32	$327.43	$327.43
United Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $185.76 / $333.33	Professional		$156.75	$185.76	$333.33