Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $5,495.41 / $5,495.41	Facility		$177.83	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.88 / $28.84	Professional		$6.03	$12.88	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $75.86 / $186.21	Facility		$21.88	$75.86	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.62 / $28.18	Professional		$12.02	$18.62	$28.18
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $21.38 / $33.11 / $40.74	Professional	50	$21.38	$33.11	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.13 / $22.91	Professional		$8.32	$14.13	$22.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $15.49 / $30.20	Facility		$7.24	$15.49	$30.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $28.18	Professional		$10.96	$16.22	$28.18
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 $109.65 / $138.04 / $199.53	Facility		$109.65	$138.04	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $29.51	Professional		$11.22	$15.85	$29.51
Select Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.49 / $97.72	Professional		$11.75	$13.49	$97.72
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 $8.32 / $14.45 / $28.84	Professional		$8.32	$14.45	$28.84