Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $154.88	Professional		$64.57	$81.28	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $269.15	Facility		$128.82	$190.55	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $181.97	Professional		$162.18	$169.82	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $123.03	Facility		$91.20	$91.20	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $107.15	Professional		$77.62	$91.20	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $120.23 / $158.49	Facility		$15.85	$120.23	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $134.90	Professional		$123.03	$131.83	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $83.18 / $112.20	Professional		$8.51	$83.18	$112.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $223.87	Facility		$128.82	$190.55	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $162.18	Professional		$131.83	$134.90	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $51.29 / $100.00	Facility		$6.76	$51.29	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $109.65	Professional		$69.18	$75.86	$109.65