Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $478.63	Facility		$331.13	$331.13	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $363.08	Professional		$100.00	$151.36	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $660.69	Facility		$186.21	$371.54	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $190.55	Professional		$186.21	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $389.05 / $724.44	Facility		$144.54	$389.05	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $309.03	Professional		$77.62	$138.04	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $190.55 / $275.42	Facility		$186.21	$190.55	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $229.09	Professional		$186.21	$194.98	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $158.49	Professional		$134.90	$134.90	$158.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $660.69	Facility		$275.42	$371.54	$660.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $194.98	Professional		$158.49	$158.49	$194.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $257.04	Professional		$186.21	$186.21	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $186.21	Professional		$77.62	$77.62	$186.21