Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $213.80	Professional		$102.33	$169.82	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $501.19 / $1,047.13	Facility		$239.88	$501.19	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $295.12	Professional		$223.87	$269.15	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $257.04	Professional		$131.83	$204.17	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $186.21 / $234.42	Facility		$117.49	$186.21	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $295.12	Professional		$151.36	$257.04	$295.12
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 Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,288.25	Facility		$676.08	$891.25	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $331.13	Professional		$213.80	$263.03	$331.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $954.99	Professional		$134.90	$138.04	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $245.47	Professional		$128.82	$177.83	$245.47