Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $426.58	Facility		$407.38	$407.38	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $53.70 / $91.20	Professional		$22.91	$53.70	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $114.82 / $223.87	Facility		$51.29	$114.82	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $117.49	Professional		$39.81	$81.28	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $134.90	Professional		$31.62	$56.23	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $66.07 / $173.78	Facility		$30.90	$66.07	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $66.07 / $123.03	Professional		$26.92	$66.07	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $39.81	Professional		$24.55	$33.11	$39.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $120.23	Professional		$30.20	$56.23	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $57.54 / $120.23	Professional		$22.91	$57.54	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $56.23 / $138.04	Professional		$25.70	$56.23	$138.04