Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.58 / $313.58 / $367.81	Facility		$313.58	$313.58	$367.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $272.13 / $298.64	Professional		$138.52	$272.13	$298.64
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 $180.73 / $250.57 / $325.83	Professional		$180.73	$250.57	$325.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $799.43 / $799.43 / $887.44	Professional		$799.43	$799.43	$887.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.40 / $382.27 / $967.12	Facility		$152.40	$382.27	$967.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.90 / $271.64 / $344.21	Professional		$235.90	$271.64	$344.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $96.61 / $256.14	Professional		$32.34	$96.61	$256.14
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 $258.52 / $304.14 / $344.21	Professional		$258.52	$304.14	$344.21
United Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $216.48 / $398.96	Professional		$160.60	$216.48	$398.96