Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,445.44 / $5,495.41	Facility		$354.81	$1,445.44	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $234.42	Professional		$61.66	$123.03	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $776.25	Facility		$204.17	$309.03	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $251.19	Professional		$109.65	$194.98	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $223.87	Professional		$77.62	$128.82	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,548.82	Professional		$302.00	$302.00	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $134.90 / $275.42	Facility		$63.10	$134.90	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $263.03	Professional		$85.11	$134.90	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $83.18	Professional		$32.36	$52.48	$83.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $245.47	Professional		$93.33	$131.83	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $245.47	Professional		$107.15	$120.23	$245.47
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 $66.07 / $123.03 / $223.87	Professional		$66.07	$123.03	$223.87