Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $165.96	Facility		$117.49	$117.49	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $125.89	Professional		$42.66	$61.66	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $173.78 / $338.84	Facility		$93.33	$173.78	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $190.55	Professional		$54.95	$66.07	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $134.90 / $251.19	Facility		$50.12	$134.90	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $93.33	Professional		$39.81	$61.66	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $117.49	Facility		$64.57	$64.57	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $77.62	Professional		$64.57	$67.61	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $234.42	Facility		$97.72	$131.83	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $67.61	Professional		$54.95	$54.95	$67.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $141.25	Professional		$64.57	$64.57	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $131.83	Professional		$26.92	$38.02	$131.83