Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $3,467.37	Facility		$154.88	$204.17	$3,467.37
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $870.96 / $1,778.28 / $2,511.89	Facility	25	$870.96	$1,778.28	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $407.38	Professional		$91.20	$120.23	$407.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $169.82 / $602.56	Professional	25	$95.50	$169.82	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $562.34 / $870.96	Facility		$512.86	$562.34	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $245.47	Professional		$177.83	$229.09	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $239.88	Professional		$102.33	$162.18	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $173.78 / $407.38	Facility		$117.49	$173.78	$407.38
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $398.11 / $1,000.00 / $7,079.46	Facility	25	$398.11	$1,000.00	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $371.54	Professional		$95.50	$151.36	$371.54
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $102.33 / $588.84	Professional	25	$95.50	$102.33	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $309.03	Professional		$162.18	$199.53	$309.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $269.15	Professional		$109.65	$181.97	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $213.80	Professional		$117.49	$162.18	$213.80