Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.02 / $269.02 / $269.02	Facility		$269.02	$269.02	$269.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $174.26 / $217.80	Professional		$103.99	$174.26	$217.80
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 $122.24 / $177.49 / $230.40	Professional		$122.24	$177.49	$230.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $429.42 / $429.42 / $476.70	Professional		$429.42	$429.42	$476.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.92 / $195.36 / $311.45	Facility		$91.92	$195.36	$311.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $198.51 / $231.95	Professional		$172.39	$198.51	$231.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.22 / $168.14	Professional		$32.34	$60.22	$168.14
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 $188.07 / $221.26 / $253.99	Professional		$188.07	$221.26	$253.99
United Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $134.11 / $248.22	Professional		$120.54	$134.11	$248.22