Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $117.49	Facility		$81.28	$81.28	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $87.10	Professional		$28.18	$36.31	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $81.28 / $162.18	Facility		$44.67	$81.28	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $45.71	Professional		$44.67	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $173.78	Facility		$34.67	$93.33	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $74.13	Professional		$33.88	$39.81	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $67.61	Facility		$44.67	$44.67	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $56.23	Professional		$44.67	$46.77	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $38.90	Professional		$33.11	$33.11	$38.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $87.10 / $162.18	Facility		$67.61	$87.10	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $46.77	Professional		$38.02	$38.02	$46.77
Select Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $63.10	Professional		$44.67	$44.67	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $44.67	Professional		$19.05	$19.05	$44.67