Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $218.78	Professional		$112.20	$158.49	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $977.24 / $1,445.44	Facility		$457.09	$977.24	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $295.12	Professional		$169.82	$199.53	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,071.52 / $1,258.93	Facility		$512.86	$1,071.52	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $257.04	Professional		$154.88	$173.78	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $398.11	Facility		$165.96	$229.09	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $309.03	Professional		$181.97	$218.78	$309.03
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 $812.83 / $1,096.48 / $1,479.11	Facility		$812.83	$1,096.48	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $263.03	Professional		$194.98	$223.87	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $812.83	Professional		$102.33	$102.33	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $263.03	Professional		$97.72	$120.23	$263.03