Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $112.20 / $194.98	Facility		$53.70	$112.20	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $75.86	Professional		$19.95	$38.90	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $151.36	Facility		$44.67	$89.13	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $125.89	Professional		$25.12	$30.20	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $61.66 / $114.82	Facility		$22.91	$61.66	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $42.66	Professional		$18.20	$28.18	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $87.10 / $199.53	Facility		$29.51	$87.10	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $63.10	Professional		$29.51	$34.67	$63.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $60.26 / $107.15	Facility		$44.67	$60.26	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $30.90	Professional		$25.12	$25.12	$30.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $64.57	Professional		$29.51	$29.51	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $60.26	Professional		$12.30	$17.78	$60.26