Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $138.04	Professional		$54.95	$70.79	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $562.34 / $1,000.00	Facility		$194.98	$562.34	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $177.83	Professional		$107.15	$125.89	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $776.25 / $1,348.96	Facility		$316.23	$776.25	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $165.96	Professional		$79.43	$112.20	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $288.40	Professional		$263.03	$263.03	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $165.96	Facility		$56.23	$91.20	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $190.55	Professional		$72.44	$134.90	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $45.71	Professional		$16.98	$32.36	$45.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $870.96	Facility		$489.78	$645.65	$870.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $173.78	Professional		$114.82	$141.25	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $173.78	Professional		$63.10	$64.57	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $162.18	Professional		$79.43	$95.50	$162.18