Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $204.17	Facility		$141.25	$141.25	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $154.88	Professional		$42.66	$63.10	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $281.84	Facility		$79.43	$147.91	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $81.28	Professional		$79.43	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $154.88	Facility		$74.13	$95.50	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $102.33	Professional		$67.61	$83.18	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $281.84	Facility		$117.49	$154.88	$281.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $83.18	Professional		$67.61	$67.61	$83.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $79.43	Professional		$33.11	$33.11	$79.43