Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $239.88	Professional		$77.62	$114.82	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,737.80 / $2,570.40	Facility		$389.05	$1,737.80	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $269.15	Professional		$165.96	$194.98	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,398.83 / $4,365.16	Facility		$977.24	$2,398.83	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $234.42	Professional		$114.82	$173.78	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $524.81	Professional		$478.63	$478.63	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $177.83 / $346.74	Facility		$95.50	$177.83	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $295.12	Professional		$125.89	$204.17	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,754.23	Facility		$1,380.38	$1,905.46	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $288.40	Professional		$177.83	$229.09	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $281.84	Professional		$97.72	$100.00	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $177.83 / $229.09	Facility		$48.98	$177.83	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $251.19	Professional		$114.82	$131.83	$251.19