Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $52.06 / $56.53	Professional		$37.93	$52.06	$56.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $62.40 / $78.00	Professional		$41.04	$62.40	$78.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.17 / $194.17 / $234.03	Professional		$194.17	$194.17	$234.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.85 / $58.87 / $72.20	Facility		$39.85	$58.87	$72.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $68.50 / $78.28	Professional		$64.05	$68.50	$78.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.29	Professional		$32.34	$32.34	$65.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $61.50 / $90.20	Facility		$57.24	$61.50	$90.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $62.81 / $68.18	Professional		$58.38	$62.81	$68.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $59.50 / $80.25	Professional		$42.59	$59.50	$80.25