Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $123.03	Facility		$85.11	$85.11	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $91.20	Professional		$25.12	$38.02	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $87.10 / $169.82	Facility		$46.77	$87.10	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $47.86	Professional		$46.77	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $97.72 / $181.97	Facility		$36.31	$97.72	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $91.20	Facility		$46.77	$46.77	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $58.88	Professional		$43.65	$56.23	$58.88
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 $70.79 / $91.20 / $169.82	Facility		$70.79	$91.20	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Professional		$39.81	$39.81	$48.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $46.77	Professional		$19.95	$19.95	$46.77