Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.28 / $149.28 / $162.72	Facility		$149.28	$149.28	$162.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $120.94 / $125.45	Professional		$88.35	$120.94	$125.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $147.26 / $173.24	Professional		$96.82	$147.26	$173.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.32 / $237.32 / $398.57	Professional		$237.32	$237.32	$398.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $138.00 / $174.15	Facility		$92.43	$138.00	$174.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $155.66 / $177.90	Professional		$146.77	$155.66	$177.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.63 / $163.86	Professional		$32.34	$75.63	$163.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $137.81 / $203.52	Facility		$118.37	$137.81	$203.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $137.31 / $151.30	Professional		$117.30	$137.31	$151.30
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $141.47 / $182.07	Professional		$94.55	$141.47	$182.07