Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $53.16 / $302.91	Facility		$42.00	$53.16	$302.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $158.47 / $260.14	Professional		$119.20	$158.47	$260.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $280.05 / $474.25	Facility		$119.03	$280.05	$474.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $200.15 / $241.35	Professional		$151.78	$200.15	$241.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $160.69 / $358.85	Professional		$160.69	$160.69	$358.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.13 / $254.55 / $292.73	Facility		$106.13	$254.55	$292.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $76.50 / $314.36	Professional		$76.50	$76.50	$314.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.59 / $133.16 / $195.32	Facility		$127.59	$133.16	$195.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.93 / $257.56 / $259.25	Professional		$218.93	$257.56	$259.25
United Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $171.85 / $272.83	Professional		$143.63	$171.85	$272.83