Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $398.11	Facility		$186.21	$371.54	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $331.13	Professional		$70.79	$138.04	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $251.19 / $616.60	Facility		$95.50	$251.19	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.78 / $173.78	Professional		$169.82	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $354.81 / $660.69	Facility		$131.83	$354.81	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $281.84	Professional		$125.89	$147.91	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $173.78 / $309.03	Facility		$169.82	$173.78	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $213.80	Professional		$169.82	$177.83	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $147.91	Professional		$125.89	$125.89	$147.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $616.60	Facility		$257.04	$323.59	$616.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $177.83	Professional		$144.54	$144.54	$177.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $154.88	Professional		$53.70	$70.79	$154.88