Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $977.24	Professional		$281.84	$524.81	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $851.14	Facility		$63.10	$79.43	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $630.96 / $954.99	Professional		$95.50	$630.96	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $524.81 / $1,000.00	Facility		$91.20	$524.81	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $977.24	Professional		$281.84	$524.81	$977.24
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 $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $912.01 / $933.25	Professional		$891.25	$912.01	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $309.03 / $616.60	Facility		$30.90	$309.03	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $457.09	Professional		$354.81	$380.19	$457.09