Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.55 / $237.55 / $237.55	Facility		$237.55	$237.55	$237.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.38 / $198.67	Professional		$87.64	$120.38	$198.67
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 $82.87 / $147.47 / $179.49	Professional		$82.87	$147.47	$179.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $268.72 / $268.72 / $298.31	Professional		$268.72	$268.72	$298.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $155.19 / $210.59	Facility		$80.64	$155.19	$210.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $167.32 / $205.37	Professional		$152.63	$167.32	$205.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $32.34 / $148.47	Professional		$28.96	$32.34	$148.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.45 / $583.67 / $887.19	Facility		$446.45	$583.67	$887.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $200.02 / $227.23	Professional		$170.02	$200.02	$227.23
United Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $98.42 / $176.12	Professional		$83.33	$98.42	$176.12