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 $87.10 / $112.20 / $218.78	Professional		$87.10	$112.20	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $2,454.71	Facility		$354.81	$1,513.56	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $275.42	Professional		$165.96	$194.98	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $3,467.37	Facility		$741.31	$1,819.70	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $269.15	Professional		$120.23	$165.96	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $478.63	Professional		$426.58	$426.58	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $323.59	Facility		$89.13	$165.96	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $263.03	Professional		$120.23	$199.53	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $70.79	Professional		$26.92	$33.11	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,187.76	Facility		$1,230.27	$1,584.89	$2,187.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $436.52	Professional		$177.83	$218.78	$436.52
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $331.13	Professional		$97.72	$100.00	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $251.19	Professional		$117.49	$134.90	$251.19