Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $508.51 / $1,229.00	Facility		$508.51	$508.51	$1,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.76 / $603.00 / $640.82	Professional		$264.76	$603.00	$640.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $343.85 / $417.14	Facility		$166.38	$343.85	$417.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.71 / $195.27 / $402.55	Professional		$174.71	$195.27	$402.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $841.29 / $841.29 / $933.92	Professional		$841.29	$841.29	$933.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.79 / $640.82 / $736.94	Facility		$206.79	$640.82	$736.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $371.83 / $490.99	Professional		$322.91	$371.83	$490.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $155.47 / $317.82	Professional		$32.34	$155.47	$317.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.34 / $419.22 / $490.98	Professional		$356.34	$419.22	$490.98
United Facility/Professional Professional Modifier Low / Median / High Price $188.64 / $233.14 / $439.28	Professional		$188.64	$233.14	$439.28