Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $208.93	Professional		$165.96	$199.53	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $218.78 / $295.12	Facility		$194.98	$218.78	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $251.19	Professional		$165.96	$218.78	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $158.49	Professional		$102.33	$128.82	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $123.03	Professional		$114.82	$117.49	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $218.78	Professional		$125.89	$125.89	$218.78