Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.45 / $322.45 / $322.45	Facility		$322.45	$322.45	$322.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $210.30 / $262.55	Professional		$122.85	$210.30	$262.55
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 $156.29 / $225.20 / $285.23	Professional		$156.29	$225.20	$285.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $542.86 / $542.86 / $602.62	Professional		$542.86	$542.86	$602.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.71 / $325.45 / $853.61	Facility		$132.71	$325.45	$853.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $245.94 / $305.70	Professional		$204.95	$245.94	$305.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $97.42 / $201.53	Professional		$32.34	$97.42	$201.53
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 $224.16 / $263.72 / $305.70	Professional		$224.16	$263.72	$305.70
United Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $188.91 / $349.65	Professional		$143.28	$188.91	$349.65