Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,122.02	Facility		$776.25	$776.25	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $831.76	Professional		$234.42	$346.74	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $794.33 / $1,548.82	Facility		$426.58	$794.33	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $436.52	Professional		$426.58	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $891.25 / $1,659.59	Facility		$331.13	$891.25	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $831.76	Facility		$426.58	$426.58	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $549.54	Professional		$363.08	$446.68	$549.54
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 $645.65 / $831.76 / $1,548.82	Facility		$645.65	$831.76	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $446.68	Professional		$363.08	$363.08	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $426.58	Professional		$177.83	$177.83	$426.58