Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $194.98	Facility		$134.90	$134.90	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $61.66 / $147.91	Professional		$15.85	$61.66	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $112.20 / $269.15	Facility		$38.02	$112.20	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $77.62	Professional		$66.07	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $158.49 / $295.12	Facility		$58.88	$158.49	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $72.44 / $125.89	Professional		$12.88	$72.44	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $112.20	Facility		$75.86	$75.86	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $95.50	Professional		$75.86	$79.43	$95.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $128.82 / $269.15	Facility		$75.86	$128.82	$269.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Professional		$64.57	$64.57	$79.43
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $45.71	Professional		$12.59	$31.62	$45.71