Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $251.19 / $5,495.41	Facility		$104.71	$251.19	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $154.88	Professional		$40.74	$87.10	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $263.03 / $1,202.26	Facility		$69.18	$263.03	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $120.23	Professional		$67.61	$91.20	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $70.79 / $102.33	Professional		$33.88	$70.79	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $91.20 / $407.38	Facility		$41.69	$91.20	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $128.82	Professional		$48.98	$83.18	$128.82
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 $524.81 / $891.25 / $1,318.26	Facility		$524.81	$891.25	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $125.89	Professional		$69.18	$85.11	$125.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $776.25	Professional		$53.70	$74.13	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,819.70 / $9,332.54	Facility		$181.97	$1,819.70	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $104.71	Professional		$45.71	$67.61	$104.71