Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.82 / $291.20 / $464.70	Professional		$200.82	$291.20	$464.70
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 $90.65 / $127.24 / $156.44	Professional		$90.65	$127.24	$156.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.22 / $255.22 / $283.32	Professional		$255.22	$255.22	$283.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $197.50 / $492.58	Facility		$100.28	$197.50	$492.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $107.00 / $186.00	Professional		$107.00	$107.00	$186.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.33 / $160.50	Professional		$32.34	$85.33	$160.50
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 $140.90 / $165.77 / $165.77	Professional		$140.90	$165.77	$165.77
United Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $264.89 / $499.12	Professional		$96.95	$264.89	$499.12