Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,288.25	Facility		$891.25	$891.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $977.24	Professional		$331.13	$478.63	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $851.14 / $1,737.80	Facility		$457.09	$851.14	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $512.86 / $512.86	Professional		$501.19	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,047.13 / $1,949.84	Facility		$389.05	$1,047.13	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $831.76	Professional		$371.54	$436.52	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $741.31	Facility		$501.19	$512.86	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $630.96	Professional		$501.19	$524.81	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $426.58	Professional		$363.08	$363.08	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,778.28	Facility		$741.31	$977.24	$1,778.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $524.81	Professional		$426.58	$426.58	$524.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $691.83	Professional		$501.19	$501.19	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $501.19	Professional		$208.93	$208.93	$501.19