Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $269.15	Professional		$114.82	$162.18	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $229.09	Professional		$186.21	$218.78	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $275.42	Professional		$117.49	$186.21	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $302.00	Professional		$162.18	$251.19	$302.00
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 $162.18 / $199.53 / $288.40	Professional		$162.18	$199.53	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $426.58	Professional		$128.82	$131.83	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $263.03	Professional		$134.90	$186.21	$263.03