Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $426.58	Facility		$151.36	$204.17	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $281.84	Professional		$91.20	$117.49	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $630.96	Facility		$194.98	$363.08	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $147.91	Professional		$144.54	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $302.00 / $562.34	Facility		$112.20	$302.00	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $239.88	Professional		$75.86	$107.15	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $147.91 / $323.59	Facility		$144.54	$147.91	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $218.78	Professional		$144.54	$151.36	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $125.89	Professional		$107.15	$107.15	$125.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $288.40 / $524.81	Facility		$218.78	$288.40	$524.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $151.36	Professional		$123.03	$123.03	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $275.42	Professional		$144.54	$144.54	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $204.17	Professional		$87.10	$104.71	$204.17