Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $457.09	Facility		$316.23	$316.23	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $338.84	Professional		$95.50	$141.25	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $354.81 / $630.96	Facility		$173.78	$354.81	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $177.83	Professional		$173.78	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $363.08 / $691.83	Facility		$138.04	$363.08	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $288.40	Professional		$74.13	$131.83	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $177.83 / $263.03	Facility		$173.78	$177.83	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $218.78	Professional		$173.78	$186.21	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Professional		$128.82	$128.82	$151.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $630.96	Facility		$263.03	$354.81	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $186.21	Professional		$147.91	$147.91	$186.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $245.47	Professional		$173.78	$173.78	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $173.78	Professional		$74.13	$74.13	$173.78