Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $173.78	Facility		$120.23	$120.23	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $131.83	Professional		$44.67	$64.57	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $169.82 / $338.84	Facility		$100.00	$169.82	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $93.33	Professional		$57.54	$67.61	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $141.25 / $263.03	Facility		$52.48	$141.25	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $95.50	Professional		$33.11	$64.57	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $109.65	Facility		$67.61	$67.61	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $81.28	Professional		$67.61	$70.79	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $239.88	Facility		$100.00	$134.90	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Professional		$57.54	$57.54	$70.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $138.04	Professional		$67.61	$67.61	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $128.82	Professional		$28.18	$39.81	$128.82