Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.75 / $178.78 / $281.54	Professional		$142.75	$178.78	$281.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.96 / $550.27 / $687.84	Professional		$356.96	$550.27	$687.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $585.45 / $585.45 / $705.61	Professional		$585.45	$585.45	$705.61
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.03 / $100.03 / $113.61	Professional	26	$100.03	$100.03	$113.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $534.25 / $582.82 / $647.58	Professional		$534.25	$582.82	$647.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.93 / $293.07	Professional		$32.34	$104.93	$293.07
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $513.83 / $601.48 / $632.12	Professional		$513.83	$601.48	$632.12
United Facility/Professional Professional Modifier Low / Median / High Price $358.89 / $480.14 / $676.69	Professional		$358.89	$480.14	$676.69