Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.40 / $124.40 / $135.04	Facility		$124.40	$124.40	$135.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $61.12 / $110.19	Professional		$45.18	$61.12	$110.19
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 $43.13 / $84.59 / $99.51	Professional		$43.13	$84.59	$99.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $109.38 / $165.79	Professional		$109.38	$109.38	$165.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.06 / $82.93 / $121.21	Facility		$51.06	$82.93	$121.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $100.17 / $117.04	Professional		$86.99	$100.17	$117.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $94.05	Professional		$32.34	$32.34	$94.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $206.06 / $311.69	Facility		$134.19	$206.06	$311.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $113.03 / $127.14	Professional		$96.08	$113.03	$127.14
United Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $54.13 / $101.99	Professional		$48.69	$54.13	$101.99