Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $257.04	Professional		$87.10	$102.33	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $288.40	Professional		$234.42	$275.42	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $134.90	Professional		$114.82	$114.82	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $194.98 / $426.58	Facility		$134.90	$194.98	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $257.04	Professional		$229.09	$245.47	$257.04
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 $213.80 / $223.87 / $257.04	Professional		$213.80	$223.87	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $323.59	Professional		$128.82	$134.90	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $194.98	Professional		$83.18	$117.49	$194.98