Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $407.38 / $1,412.54	Facility		$29.51	$407.38	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $45.71 / $165.96	Professional		$12.88	$45.71	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $295.12 / $602.56	Facility		$57.54	$295.12	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $93.33 / $134.90	Professional		$25.12	$93.33	$134.90
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $169.82 / $194.98	Professional	50	$43.65	$169.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $102.33	Professional		$18.20	$29.51	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $69.18 / $426.58	Facility		$17.78	$69.18	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $57.54 / $138.04	Professional		$22.39	$57.54	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $446.68 / $630.96	Facility		$346.74	$446.68	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $144.54	Professional		$23.44	$33.88	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $64.57 / $316.23	Professional		$23.99	$64.57	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,317.64 / $9,332.54	Facility		$1,819.70	$8,317.64	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $44.67 / $91.20	Professional		$20.42	$44.67	$91.20