Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $977.24	Facility		$691.83	$691.83	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $741.31	Professional		$208.93	$309.03	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $707.95 / $1,380.38	Facility		$380.19	$707.95	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $389.05	Professional		$380.19	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $794.33 / $1,479.11	Facility		$295.12	$794.33	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $741.31	Facility		$380.19	$380.19	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $478.63	Professional		$354.81	$398.11	$478.63
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 $575.44 / $741.31 / $1,380.38	Facility		$575.44	$741.31	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $398.11	Professional		$323.59	$323.59	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $380.19	Professional		$158.49	$158.49	$380.19