Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $676.08	Facility		$467.74	$467.74	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $501.19	Professional		$173.78	$208.93	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $812.83	Facility		$218.78	$389.05	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $263.03	Professional		$257.04	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $537.03 / $1,000.00	Facility		$199.53	$537.03	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $478.63	Professional		$158.49	$190.55	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $389.05	Facility		$257.04	$257.04	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $323.59	Professional		$257.04	$269.15	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $223.87	Professional		$190.55	$190.55	$223.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $933.25	Facility		$389.05	$478.63	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $269.15	Professional		$218.78	$218.78	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $346.74	Professional		$107.15	$147.91	$346.74