Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.39 / $267.39 / $267.39	Facility		$267.39	$267.39	$267.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $127.02 / $216.48	Professional		$90.43	$127.02	$216.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $367.78 / $603.27	Facility		$148.86	$367.78	$603.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $165.53 / $194.74	Professional		$95.25	$165.53	$194.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.35 / $344.35 / $382.26	Professional		$344.35	$344.35	$382.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $186.48 / $240.73	Facility		$105.05	$186.48	$240.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $197.28 / $230.50	Professional		$171.32	$197.28	$230.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.22 / $167.13	Professional		$32.34	$60.22	$167.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $192.42 / $261.88 / $385.48	Facility		$192.42	$261.88	$385.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.48 / $220.57 / $252.45	Professional		$187.48	$220.57	$252.45
United Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $110.20 / $202.86	Professional		$96.67	$110.20	$202.86