Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $302.00	Professional		$123.03	$158.49	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $6,165.95 / $9,549.93	Facility		$954.99	$6,165.95	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $398.11	Professional		$239.88	$281.84	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,549.93 / $17,378.01	Facility		$3,890.45	$9,549.93	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $380.19	Professional		$173.78	$251.19	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $630.96	Professional		$562.34	$562.34	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $295.12 / $741.31	Facility		$138.04	$295.12	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $426.58	Professional		$165.96	$288.40	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,585.78 / $10,964.78	Facility		$5,495.41	$7,585.78	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $380.19	Professional		$251.19	$316.23	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $467.74	Professional		$141.25	$144.54	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $407.38	Professional		$165.96	$199.53	$407.38