Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.78 / $210.78 / $210.78	Facility		$210.78	$210.78	$210.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $79.70 / $172.65	Professional		$55.11	$79.70	$172.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $273.04 / $498.63	Facility		$110.60	$273.04	$498.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $127.76 / $159.69	Professional		$72.72	$127.76	$159.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.24 / $309.24 / $343.28	Professional		$309.24	$309.24	$343.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $136.36 / $189.92	Facility		$73.89	$136.36	$189.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $142.63 / $180.95	Professional		$134.49	$142.63	$180.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.26 / $146.80	Professional		$32.34	$50.26	$146.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.19 / $238.10 / $337.13	Facility		$174.19	$238.10	$337.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $176.05 / $201.30	Professional		$149.63	$176.05	$201.30
United Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $89.30 / $154.37	Professional		$77.27	$89.30	$154.37