Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $81.28	Facility		$57.54	$57.54	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $61.66	Professional		$20.89	$28.84	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $58.88 / $114.82	Facility		$31.62	$58.88	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $27.54 / $32.36	Professional		$26.92	$27.54	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $45.71	Professional		$30.20	$36.31	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $57.54	Facility		$31.62	$31.62	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $38.02	Professional		$30.20	$33.11	$38.02
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 $47.86 / $58.88 / $114.82	Facility		$47.86	$58.88	$114.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $33.11	Professional		$26.92	$26.92	$33.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $38.02	Professional		$13.18	$13.18	$38.02