Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $100.00	Professional		$58.88	$79.43	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $1,230.27	Facility		$575.44	$831.76	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $575.44	Professional		$117.49	$141.25	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $162.18	Professional		$147.91	$147.91	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $169.82	Facility		$64.57	$89.13	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $100.00	Professional		$61.66	$81.28	$100.00
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 $660.69 / $912.01 / $1,230.27	Facility		$660.69	$912.01	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $154.88	Professional		$112.20	$141.25	$154.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $912.01	Professional		$575.44	$870.96	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $165.96	Professional		$83.18	$93.33	$165.96