Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $117.49	Professional		$67.61	$81.28	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $141.25	Professional		$109.65	$123.03	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $147.91	Professional		$63.10	$100.00	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $123.03	Facility		$70.79	$91.20	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $147.91	Professional		$70.79	$100.00	$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 $75.86 / $109.65 / $147.91	Professional		$75.86	$109.65	$147.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $134.90	Professional		$69.18	$93.33	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $138.04	Professional		$66.07	$97.72	$138.04