Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $288.40	Facility		$204.17	$204.17	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $204.17	Professional		$100.00	$112.20	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $389.05 / $616.60	Facility		$213.80	$389.05	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $223.87	Professional		$173.78	$204.17	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $208.93	Professional		$134.90	$162.18	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $295.12	Facility		$109.65	$204.17	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $302.00	Professional		$177.83	$186.21	$302.00
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 Professional Modifier Low / Median / High Price $190.55 / $213.80 / $223.87	Professional		$190.55	$213.80	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $354.81	Professional		$102.33	$102.33	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $229.09	Professional		$117.49	$134.90	$229.09