Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $134.90 / $302.00	Facility		$23.44	$134.90	$302.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	25	$23.44	$23.44	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $302.00	Professional		$91.20	$169.82	$302.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $81.28 / $251.19 / $398.11	Professional	25	$81.28	$251.19	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $416.87	Facility		$151.36	$257.04	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $407.38	Professional		$213.80	$275.42	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $346.74	Professional		$186.21	$245.47	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $275.42	Facility		$112.20	$165.96	$275.42
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	25	$23.44	$23.44	$23.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $398.11	Professional		$120.23	$218.78	$398.11
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $81.28 / $251.19 / $398.11	Professional	25	$81.28	$251.19	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $416.87	Facility		$239.88	$295.12	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $338.84	Professional		$190.55	$239.88	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $331.13	Professional		$147.91	$208.93	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $281.84	Professional		$141.25	$199.53	$281.84