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 $30.90 / $46.77 / $114.82	Professional		$30.90	$46.77	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $131.83 / $229.09	Facility		$67.61	$131.83	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $60.26	Professional		$58.88	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $123.03 / $229.09	Facility		$45.71	$123.03	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $97.72	Professional		$26.30	$43.65	$97.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $60.26 / $87.10	Facility		$58.88	$60.26	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $75.86	Professional		$58.88	$61.66	$75.86
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 $87.10 / $117.49 / $208.93	Facility		$87.10	$117.49	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $61.66	Professional		$50.12	$50.12	$61.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $93.33	Professional		$58.88	$58.88	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.70 / $70.79	Professional		$24.55	$25.70	$70.79