Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $457.09	Facility		$173.78	$316.23	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $338.84	Professional		$95.50	$141.25	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $630.96	Facility		$173.78	$323.59	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $177.83	Professional		$173.78	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $338.84	Facility		$173.78	$173.78	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $229.09	Professional		$162.18	$181.97	$229.09
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 $263.03 / $338.84 / $630.96	Facility		$263.03	$338.84	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $181.97	Professional		$147.91	$147.91	$181.97
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $173.78	Professional		$74.13	$74.13	$173.78