Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $154.88	Professional		$41.69	$79.43	$154.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $93.33 / $199.53	Professional	25	$72.44	$93.33	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $173.78	Professional		$77.62	$104.71	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $144.54	Professional		$44.67	$83.18	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $138.04	Facility		$39.81	$77.62	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $181.97	Professional		$46.77	$91.20	$181.97
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $22.91 / $95.50 / $158.49	Professional	25	$22.91	$95.50	$158.49
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 $50.12 / $67.61 / $123.03	Professional		$50.12	$67.61	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $131.83	Professional		$45.71	$85.11	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $125.89	Professional		$43.65	$74.13	$125.89