Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $338.84	Professional		$134.90	$177.83	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,495.41 / $9,549.93	Facility		$954.99	$5,495.41	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $436.52	Professional		$269.15	$316.23	$436.52
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 $190.55 / $288.40 / $426.58	Professional		$190.55	$288.40	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $691.83	Professional		$630.96	$630.96	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $338.84 / $812.83	Facility		$162.18	$338.84	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $489.78	Professional		$199.53	$346.74	$489.78
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 $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 $281.84 / $346.74 / $426.58	Professional		$281.84	$346.74	$426.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $537.03	Professional		$162.18	$165.96	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $446.68	Professional		$177.83	$239.88	$446.68