Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $208.93	Professional		$107.15	$147.91	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $870.96 / $1,258.93	Facility		$398.11	$870.96	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $275.42	Professional		$162.18	$190.55	$275.42
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 $144.54 / $165.96 / $245.47	Professional		$144.54	$165.96	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $218.78 / $398.11	Facility		$151.36	$218.78	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $295.12	Professional		$173.78	$208.93	$295.12
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 $724.44 / $1,071.52 / $1,412.54	Facility		$724.44	$1,071.52	$1,412.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $245.47	Professional		$186.21	$213.80	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $831.76	Professional		$97.72	$97.72	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $251.19	Professional		$93.33	$114.82	$251.19