Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,495.41	Facility		$1,412.54	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $89.13	Professional		$57.54	$79.43	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $186.21	Facility		$120.23	$120.23	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $131.83	Professional		$102.33	$120.23	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $1,412.54	Facility		$74.13	$87.10	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $95.50	Professional		$72.44	$81.28	$95.50
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 Facility Modifier Low / Median / High Price $120.23 / $120.23 / $177.83	Facility		$120.23	$120.23	$177.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $154.88	Professional		$77.62	$117.49	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $165.96	Professional		$81.28	$87.10	$165.96