Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $125.89	Professional		$57.54	$70.79	$125.89
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	25	$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $144.54	Professional		$107.15	$138.04	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $151.36	Professional		$67.61	$112.20	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $91.20 / $138.04	Facility		$57.54	$91.20	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $154.88	Professional		$66.07	$117.49	$154.88
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	25	$138.04	$138.04	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $141.25	Professional		$89.13	$107.15	$141.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $117.49	Professional		$64.57	$81.28	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $138.04	Professional		$69.18	$100.00	$138.04