Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $288.40	Facility		$204.17	$204.17	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $218.78	Professional		$75.86	$104.71	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $407.38	Facility		$112.20	$208.93	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $120.23	Professional		$95.50	$112.20	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $234.42 / $436.52	Facility		$87.10	$234.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $162.18	Professional		$107.15	$128.82	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $204.17	Facility		$112.20	$112.20	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $134.90	Professional		$107.15	$117.49	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $407.38	Facility		$169.82	$208.93	$407.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $117.49	Professional		$95.50	$95.50	$117.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $134.90	Professional		$46.77	$46.77	$134.90