Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $537.03	Facility		$371.54	$371.54	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $407.38	Professional		$112.20	$165.96	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $416.87 / $741.31	Facility		$208.93	$416.87	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $213.80	Professional		$208.93	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $426.58 / $812.83	Facility		$162.18	$426.58	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $354.81	Professional		$91.20	$154.88	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $309.03	Facility		$208.93	$213.80	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $257.04	Professional		$199.53	$218.78	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $177.83	Professional		$151.36	$151.36	$177.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $416.87 / $741.31	Facility		$309.03	$416.87	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $218.78	Professional		$177.83	$177.83	$218.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $208.93	Professional		$87.10	$87.10	$208.93