Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.60 / $173.60 / $173.60	Facility		$173.60	$173.60	$173.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $100.47 / $138.76	Professional		$66.20	$100.47	$138.76
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 $83.97 / $111.71 / $143.61	Professional		$83.97	$111.71	$143.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.62 / $260.62 / $289.32	Professional		$260.62	$260.62	$289.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $147.09 / $261.08	Facility		$68.20	$147.09	$261.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $127.83 / $162.13	Professional		$111.01	$127.83	$162.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.11 / $120.90	Professional		$32.34	$38.11	$120.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.21 / $586.01 / $887.19	Facility		$468.21	$586.01	$887.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $142.47 / $162.13	Professional		$121.11	$142.47	$162.13
United Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $95.48 / $160.66	Professional		$78.66	$95.48	$160.66