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 / $262.55 / $288.14	Professional		$122.85	$262.55	$288.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.08 / $1,827.99 / $3,447.15	Facility		$739.08	$1,827.99	$3,447.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $225.20 / $314.58	Professional		$156.29	$225.20	$314.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $513.15 / $513.15 / $569.64	Professional		$513.15	$513.15	$569.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.71 / $316.42 / $941.49	Facility		$132.71	$316.42	$941.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $236.00 / $305.70	Professional		$204.95	$236.00	$305.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $87.43 / $224.56	Professional		$32.34	$87.43	$224.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,159.89 / $1,590.88 / $2,813.57	Facility		$1,159.89	$1,590.88	$2,813.57
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 / $229.25 / $475.02	Professional		$143.28	$229.25	$475.02