Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $676.08	Facility		$467.74	$467.74	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $512.86	Professional		$141.25	$218.78	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $457.09 / $933.25	Facility		$263.03	$457.09	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $426.58	Professional		$194.98	$245.47	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Facility		$263.03	$263.03	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $323.59	Professional		$263.03	$275.42	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $223.87	Professional		$190.55	$190.55	$223.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $933.25	Facility		$389.05	$501.19	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $275.42	Professional		$223.87	$223.87	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $263.03	Professional		$109.65	$109.65	$263.03