Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $154.88	Professional		$57.54	$67.61	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $169.82	Professional		$141.25	$162.18	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $81.28	Professional		$66.07	$69.18	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $154.88	Facility		$67.61	$120.23	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $147.91	Professional		$102.33	$138.04	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $151.36	Professional		$141.25	$141.25	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $165.96	Professional		$75.86	$75.86	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $123.03	Professional		$53.70	$61.66	$123.03