Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $269.15	Professional		$128.82	$177.83	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $1,230.27	Facility		$323.59	$630.96	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $331.13	Professional		$190.55	$223.87	$331.13
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 $173.78 / $194.98 / $302.00	Professional		$173.78	$194.98	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $588.84	Facility		$194.98	$295.12	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $354.81	Professional		$208.93	$251.19	$354.81
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 $707.95 / $977.24 / $1,412.54	Facility		$707.95	$977.24	$1,412.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $295.12	Professional		$218.78	$251.19	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $457.09	Professional		$117.49	$117.49	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $338.84	Professional		$109.65	$147.91	$338.84