Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.80 / $404.80 / $404.80	Facility		$404.80	$404.80	$404.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $238.22 / $322.56	Professional		$149.88	$238.22	$322.56
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 $175.68 / $265.81 / $320.52	Professional		$175.68	$265.81	$320.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $540.16 / $540.16 / $599.62	Professional		$540.16	$540.16	$599.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.15 / $354.82 / $872.37	Facility		$169.15	$354.82	$872.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $302.37 / $364.06	Professional		$262.58	$302.37	$364.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.21 / $281.91	Professional		$32.34	$103.21	$281.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $842.58 / $7,073.20 / $10,933.24	Facility		$842.58	$7,073.20	$10,933.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $271.33 / $319.20 / $364.05	Professional		$271.33	$319.20	$364.05
United Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $196.46 / $351.55	Professional		$184.48	$196.46	$351.55