Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,148.15	Facility		$794.33	$794.33	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $354.81 / $851.14	Professional		$95.50	$354.81	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $436.52 / $1,548.82	Facility		$177.83	$436.52	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $446.68 / $446.68	Professional		$436.52	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $912.01 / $1,698.24	Facility		$346.74	$912.01	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $724.44	Professional		$331.13	$389.05	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $660.69	Facility		$436.52	$436.52	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $549.54	Professional		$436.52	$457.09	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $380.19	Professional		$323.59	$323.59	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $741.31 / $1,584.89	Facility		$446.68	$741.31	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $457.09	Professional		$371.54	$371.54	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $186.21 / $263.03	Professional		$74.13	$186.21	$263.03