Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $5,495.41	Facility		$4,466.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $120.23	Professional		$91.20	$102.33	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $331.13	Facility		$158.49	$194.98	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $91.20	Professional		$53.70	$77.62	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $138.04	Facility		$75.86	$104.71	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $1,230.27	Professional		$91.20	$100.00	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $190.55	Professional		$123.03	$144.54	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $117.49	Professional		$72.44	$91.20	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,819.70 / $9,332.54	Facility		$151.36	$1,819.70	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $199.53	Professional		$97.72	$141.25	$199.53