Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $263.03	Professional		$102.33	$194.98	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $218.78	Facility		$208.93	$208.93	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $229.09	Professional		$204.17	$204.17	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $186.21 / $263.03	Facility		$117.49	$186.21	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $275.42	Professional		$165.96	$257.04	$275.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $257.04	Professional		$141.25	$141.25	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $323.59	Professional		$190.55	$245.47	$323.59