Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.41 / $384.41 / $384.41	Facility		$384.41	$384.41	$384.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $146.36 / $365.97	Professional		$113.09	$146.36	$365.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $776.70 / $1,344.59	Facility		$314.62	$776.70	$1,344.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $241.13 / $308.95	Professional		$137.40	$241.13	$308.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $386.21 / $386.21 / $634.65	Professional		$386.21	$386.21	$634.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $200.12 / $353.33	Facility		$115.68	$200.12	$353.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $246.05 / $331.05	Professional		$184.14	$246.05	$331.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.69 / $267.72	Professional		$32.34	$70.69	$267.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.21 / $642.04 / $1,250.40	Facility		$468.21	$642.04	$1,250.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $273.66 / $321.95 / $368.22	Professional		$273.66	$321.95	$368.22
United Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $165.77 / $274.80	Professional		$131.72	$165.77	$274.80