Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.66 / $433.66 / $433.66	Facility		$433.66	$433.66	$433.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $273.66 / $340.18	Professional		$160.96	$273.66	$340.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,914.19 / $9,658.25 / $17,490.63	Facility		$3,914.19	$9,658.25	$17,490.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $286.52 / $363.58	Professional		$209.25	$286.52	$363.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $627.92 / $627.92 / $697.06	Professional		$627.92	$627.92	$697.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.88 / $423.93 / $902.85	Facility		$178.88	$423.93	$902.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $318.35 / $397.99	Professional		$276.45	$318.35	$397.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $87.09 / $302.02	Professional		$32.34	$87.09	$302.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,184.85 / $7,592.53 / $10,933.24	Facility		$5,184.85	$7,592.53	$10,933.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $354.15 / $397.99	Professional		$301.02	$354.15	$397.99
United Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $240.99 / $444.16	Professional		$179.37	$240.99	$444.16