Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $954.99	Facility		$81.28	$107.15	$954.99
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $645.65 / $954.99 / $1,000.00	Facility	25	$645.65	$954.99	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $223.87	Professional		$53.70	$70.79	$223.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.26 / $131.83 / $436.52	Professional	25	$60.26	$131.83	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $338.84 / $512.86	Facility		$309.03	$338.84	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $144.54	Professional		$104.71	$134.90	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $138.04	Professional		$60.26	$93.33	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $173.78	Facility		$66.07	$93.33	$173.78
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $489.78 / $891.25 / $1,000.00	Facility	25	$489.78	$891.25	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $199.53	Professional		$58.88	$77.62	$199.53
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $58.88 / $120.23 / $537.03	Professional	25	$58.88	$120.23	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $162.18	Professional		$95.50	$114.82	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $158.49	Professional		$64.57	$95.50	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $114.82	Professional		$63.10	$89.13	$114.82