Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.35 / $596.32 / $954.97	Professional		$284.35	$596.32	$954.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.68 / $1,629.78 / $3,027.19	Facility		$660.68	$1,629.78	$3,027.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $107.26 / $131.61	Professional		$77.04	$107.26	$131.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.46 / $221.46 / $245.84	Professional		$221.46	$221.46	$245.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.01 / $255.51 / $1,012.27	Facility		$86.01	$255.51	$1,012.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $91.53 / $159.65	Professional		$91.53	$91.53	$159.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.18 / $137.30	Professional		$32.34	$73.18	$137.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,008.78 / $1,319.33 / $2,033.00	Facility		$1,008.78	$1,319.33	$2,033.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $139.74 / $140.91	Professional		$118.78	$139.74	$140.91
United Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $508.51 / $958.13	Professional		$79.27	$508.51	$958.13