Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.54 / $3,498.34 / $5,609.48	Professional		$471.54	$3,498.34	$5,609.48
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 $276.31 / $391.43 / $472.02	Professional		$276.31	$391.43	$472.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $819.69 / $819.69 / $909.93	Professional		$819.69	$819.69	$909.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.02 / $588.61 / $5,946.05	Facility		$309.02	$588.61	$5,946.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $344.75 / $344.75 / $585.90	Professional		$344.75	$344.75	$585.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $355.85 / $517.12	Professional		$32.34	$355.85	$517.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,033.00 / $7,073.20 / $10,933.24	Facility		$2,033.00	$7,073.20	$10,933.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $442.51 / $520.60 / $523.71	Professional		$442.51	$520.60	$523.71
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $1,455.25 / $2,676.40	Professional		$284.08	$1,455.25	$2,676.40