Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $380.19	Professional		$30.20	$47.86	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $346.74	Professional		$257.04	$338.84	$346.74
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $151.36 / $177.83 / $208.93	Professional	QX	$151.36	$177.83	$208.93
BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $151.36 / $177.83 / $208.93	Professional	QY	$151.36	$177.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $407.38	Professional		$251.19	$302.00	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,089.30 / $5,128.61	Facility		$380.19	$2,089.30	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $338.84 / $512.86	Professional		$39.81	$338.84	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $95.50	Professional		$30.20	$30.20	$95.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $416.87	Professional		$309.03	$346.74	$416.87
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $154.88 / $173.78 / $208.93	Professional	QX	$154.88	$173.78	$208.93
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $154.88 / $173.78 / $208.93	Professional	QY	$154.88	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $74.13	Professional		$38.02	$54.95	$74.13