Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $204.17 / $239.88	Facility		$181.97	$204.17	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $239.88	Professional		$131.83	$181.97	$239.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	25	$501.19	$501.19	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $354.81	Facility		$190.55	$204.17	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $371.54	Professional		$269.15	$295.12	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Professional		$389.05	$389.05	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $281.84	Facility		$204.17	$204.17	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $389.05	Professional		$154.88	$288.40	$389.05
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	25	$501.19	$501.19	$501.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $323.59	Professional		$269.15	$295.12	$323.59
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $186.21	Professional		$154.88	$181.97	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $302.00	Professional		$141.25	$208.93	$302.00