Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.06 / $207.06 / $207.06	Facility		$207.06	$207.06	$207.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $107.12 / $177.60	Professional		$75.14	$107.12	$177.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.24 / $602.62 / $1,008.20	Facility		$244.24	$602.62	$1,008.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $129.54 / $159.38	Professional		$68.00	$129.54	$159.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.91 / $230.91 / $256.33	Professional		$230.91	$230.91	$256.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $127.26 / $188.26	Facility		$72.00	$127.26	$188.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $141.52 / $179.53	Professional		$115.48	$141.52	$179.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $32.34 / $129.41	Professional		$24.80	$32.34	$129.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $254.23 / $416.64 / $638.51	Facility		$254.23	$416.64	$638.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $174.68 / $203.22	Professional		$148.47	$174.68	$203.22
United Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $87.78 / $151.41	Professional		$70.53	$87.78	$151.41