Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.77 / $982.77 / $1,229.00	Facility		$982.77	$982.77	$1,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $494.18 / $1,122.17	Professional		$425.00	$494.18	$1,122.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $650.22 / $776.70	Facility		$314.62	$650.22	$776.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.85 / $401.07 / $823.32	Professional		$358.85	$401.07	$823.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.36 / $1,743.36 / $1,935.29	Professional		$1,743.36	$1,743.36	$1,935.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.09 / $1,122.17 / $1,290.50	Facility		$386.09	$1,122.17	$1,290.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $763.93 / $982.77	Professional		$663.42	$763.93	$982.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $256.87 / $614.23	Professional		$32.34	$256.87	$614.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.45 / $586.01 / $887.19	Facility		$446.45	$586.01	$887.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $733.64 / $863.10 / $1,005.12	Professional		$733.64	$863.10	$1,005.12
United Facility/Professional Professional Modifier Low / Median / High Price $392.03 / $506.15 / $905.75	Professional		$392.03	$506.15	$905.75