Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $151.36	Facility		$104.71	$104.71	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $45.71 / $112.20	Professional		$10.00	$45.71	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $95.50 / $181.97	Facility		$35.48	$95.50	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $58.88 / $58.88	Professional		$57.54	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $120.23 / $223.87	Facility		$45.71	$120.23	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $43.65 / $95.50	Professional		$12.30	$43.65	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $57.54 / $87.10	Facility		$40.74	$57.54	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $72.44	Professional		$35.48	$58.88	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $50.12	Professional		$42.66	$42.66	$50.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $208.93	Facility		$69.18	$97.72	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Professional		$48.98	$48.98	$60.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $81.28	Professional		$43.65	$57.54	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $24.55 / $40.74	Professional		$12.02	$24.55	$40.74