Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $94.21 / $152.72	Professional		$65.75	$94.21	$152.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $113.72 / $181.04	Professional		$78.38	$113.72	$181.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $341.63 / $341.63 / $411.75	Professional		$341.63	$341.63	$411.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $119.44 / $146.74	Professional		$112.61	$119.44	$146.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.79 / $122.27	Professional		$32.34	$37.79	$122.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $105.47 / $112.94	Professional		$95.63	$105.47	$112.94
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $141.44 / $194.48	Professional		$79.04	$141.44	$194.48