Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Facility		$363.08	$363.08	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $389.05	Professional		$128.82	$162.18	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $371.54 / $724.44	Facility		$199.53	$371.54	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $204.17	Professional		$199.53	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $416.87 / $776.25	Facility		$154.88	$416.87	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $389.05	Facility		$199.53	$199.53	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $251.19	Professional		$194.98	$208.93	$251.19
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 $302.00 / $389.05 / $724.44	Facility		$302.00	$389.05	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $208.93	Professional		$169.82	$169.82	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $199.53	Professional		$83.18	$83.18	$199.53