Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,120.89 / $3,494.22 / $5,604.12	Professional		$2,120.89	$3,494.22	$5,604.12
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 $493.70 / $644.24 / $854.73	Professional		$493.70	$644.24	$854.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.76 / $1,563.76 / $1,735.92	Professional		$1,563.76	$1,563.76	$1,735.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.21 / $1,253.93 / $5,940.37	Facility		$604.21	$1,253.93	$5,940.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $672.62 / $672.62 / $1,147.78	Professional		$672.62	$672.62	$1,147.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $733.40 / $1,008.93	Professional		$32.34	$733.40	$1,008.93
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 $751.69 / $884.34 / $884.34	Professional		$751.69	$884.34	$884.34
United Facility/Professional Professional Modifier Low / Median / High Price $562.98 / $1,681.78 / $3,783.39	Professional		$562.98	$1,681.78	$3,783.39