Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $467.74 / $912.01	Professional		$245.47	$467.74	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $2,089.30	Facility		$630.96	$1,071.52	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $1,445.44	Professional		$60.26	$70.79	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,621.81 / $3,019.95	Facility		$660.69	$1,621.81	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $134.90	Professional		$77.62	$100.00	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $245.47	Professional		$223.87	$223.87	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $275.42 / $954.99	Facility		$67.61	$275.42	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $363.08 / $741.31	Professional		$91.20	$363.08	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $34.67	Professional		$16.98	$32.36	$34.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,995.26	Facility		$1,071.52	$1,380.38	$1,995.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $147.91	Professional		$112.20	$131.83	$147.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $70.79 / $1,071.52	Professional		$30.90	$70.79	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $870.96	Professional		$79.43	$512.86	$870.96