Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.85 / $202.07 / $239.09	Professional		$117.85	$202.07	$239.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $367.78 / $603.27	Facility		$148.86	$367.78	$603.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $145.65 / $179.25	Professional		$104.93	$145.65	$179.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.04 / $320.04 / $355.27	Professional		$320.04	$320.04	$355.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.80 / $214.16 / $263.00	Facility		$106.80	$214.16	$263.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $118.43 / $214.68	Professional		$118.43	$118.43	$214.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.78 / $177.65	Professional		$32.34	$72.78	$177.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.29 / $293.30 / $901.85	Facility		$214.29	$293.30	$901.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.29 / $189.75 / $189.75	Professional		$161.29	$189.75	$189.75
United Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $177.46 / $457.62	Professional		$107.62	$177.46	$457.62