Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $288.40	Professional		$83.18	$117.49	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $323.59	Professional		$234.42	$275.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $154.88	Professional		$114.82	$131.83	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $229.09 / $323.59	Facility		$107.15	$229.09	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $281.84	Professional		$186.21	$251.19	$281.84
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 $229.09 / $251.19 / $281.84	Professional		$229.09	$251.19	$281.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $331.13	Professional		$123.03	$186.21	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $199.53	Professional		$74.13	$107.15	$199.53