Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $57.14 / $149.16	Professional		$30.60	$57.14	$149.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $68.51 / $152.44	Professional		$40.70	$68.51	$152.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.85 / $132.85 / $160.12	Professional		$132.85	$132.85	$160.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $83.24 / $156.63	Facility		$37.04	$83.24	$156.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $91.06 / $245.18	Professional		$50.18	$91.06	$245.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.89 / $219.41	Professional		$32.34	$70.89	$219.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $609.75 / $1,315.90 / $1,623.96	Facility		$609.75	$1,315.90	$1,623.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $70.66 / $184.13	Professional		$45.00	$70.66	$184.13
United Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $88.56 / $148.25	Professional		$62.94	$88.56	$148.25