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 $123.03 / $147.91 / $151.36	Professional		$123.03	$147.91	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $162.18 / $281.84	Facility		$141.25	$162.18	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $251.19	Professional		$147.91	$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 $114.82 / $144.54 / $177.83	Professional		$114.82	$144.54	$177.83
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 / $162.18	Professional		$125.89	$125.89	$162.18