Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.34 / $339.00 / $500.59	Facility		$243.34	$339.00	$500.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $100.56 / $204.49	Professional		$68.61	$100.56	$204.49
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 $97.58 / $153.77 / $197.02	Professional		$97.58	$153.77	$197.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $395.66 / $395.66 / $439.22	Professional		$395.66	$395.66	$439.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $173.81 / $239.27	Facility		$85.82	$173.81	$239.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $177.73 / $211.70	Professional		$158.52	$177.73	$211.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.16 / $172.58	Professional		$32.34	$53.16	$172.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $217.32 / $320.92	Facility		$156.94	$217.32	$320.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $204.82 / $237.49	Professional		$174.10	$204.82	$237.49
United Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $112.86 / $212.17	Professional		$106.20	$112.86	$212.17