Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.23 / $290.13 / $292.93	Professional		$204.23	$290.13	$292.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.48 / $312.69 / $367.87	Professional		$226.48	$312.69	$367.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $486.17 / $486.17 / $585.95	Professional		$486.17	$486.17	$585.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.69 / $117.69 / $133.66	Professional	26	$117.69	$117.69	$133.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $332.92 / $400.77 / $458.02	Professional		$332.92	$400.77	$458.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.83 / $407.88	Professional		$32.34	$73.83	$407.88
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $513.03	Facility	26	$513.03	$513.03	$513.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.53 / $252.67 / $304.74	Professional		$242.53	$252.67	$304.74
United Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $318.64 / $437.99	Professional		$205.35	$318.64	$437.99