Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $257.04 / $407.38	Facility		$125.89	$257.04	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $407.38	Professional		$151.36	$229.09	$407.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $208.93 / $524.81 / $537.03	Professional	25	$208.93	$524.81	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $275.42 / $416.87	Facility		$151.36	$275.42	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $549.54	Professional		$288.40	$371.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $478.63	Professional		$251.19	$331.13	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $229.09 / $371.54	Facility		$151.36	$229.09	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $537.03	Professional		$177.83	$302.00	$537.03
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $208.93 / $524.81 / $537.03	Professional	25	$208.93	$524.81	$537.03
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 $257.04 / $331.13 / $457.09	Professional		$257.04	$331.13	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $416.87	Professional		$199.53	$281.84	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $398.11	Professional		$199.53	$281.84	$398.11