Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $338.84 / $524.81	Facility		$162.18	$338.84	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $204.17	Professional		$77.62	$102.33	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $239.88 / $398.11	Facility		$109.65	$239.88	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $223.87	Professional		$154.88	$181.97	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $501.19	Facility		$109.65	$275.42	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $269.15	Professional		$95.50	$154.88	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $436.52	Professional		$398.11	$398.11	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $245.47	Facility		$89.13	$138.04	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $213.80	Professional		$104.71	$177.83	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $64.57	Professional		$23.44	$33.11	$64.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $229.09 / $316.23	Facility		$158.49	$229.09	$316.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $213.80	Professional		$141.25	$199.53	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $213.80	Professional		$91.20	$91.20	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $213.80	Professional		$107.15	$112.20	$213.80