Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $186.21	Facility		$162.18	$162.18	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $234.42	Professional		$83.18	$107.15	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $257.04	Facility		$138.04	$162.18	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $223.87	Professional		$154.88	$190.55	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $204.17	Professional		$87.10	$144.54	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $213.80	Facility		$87.10	$138.04	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $223.87	Professional		$93.33	$158.49	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $208.93	Professional		$30.20	$30.20	$208.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $162.18	Facility		$138.04	$162.18	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $208.93	Professional		$123.03	$151.36	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $177.83	Professional		$97.72	$120.23	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $204.17	Professional		$97.72	$144.54	$204.17