Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $181.97	Professional		$117.49	$158.49	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $398.11	Facility		$213.80	$257.04	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $275.42	Professional		$257.04	$257.04	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $199.53	Facility		$117.49	$141.25	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $181.97	Professional		$117.49	$141.25	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $380.19	Facility		$257.04	$257.04	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $275.42	Professional		$257.04	$257.04	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $309.03	Professional		$151.36	$151.36	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $257.04	Professional		$144.54	$181.97	$257.04