Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $524.81	Facility		$302.00	$398.11	$524.81
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $2,398.83 / $4,786.30 / $8,511.38	Facility	25	$2,398.83	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $831.76	Professional		$181.97	$251.19	$831.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $190.55 / $323.59 / $954.99	Professional	25	$190.55	$323.59	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,096.48 / $1,819.70	Facility		$602.56	$1,096.48	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $549.54	Professional		$354.81	$426.58	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $537.03	Professional		$213.80	$338.84	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $524.81	Facility		$208.93	$323.59	$524.81
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $1,202.26 / $4,786.30 / $8,511.38	Facility	25	$1,202.26	$4,786.30	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $660.69	Professional		$190.55	$346.74	$660.69
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $234.42 / $812.83	Professional	25	$169.82	$234.42	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $1,819.70	Facility		$1,698.24	$1,819.70	$1,819.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $588.84	Professional		$302.00	$398.11	$588.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $562.34	Professional		$213.80	$323.59	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $489.78	Professional		$239.88	$346.74	$489.78