Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $204.17	Facility		$53.70	$102.33	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $346.74	Professional		$43.65	$72.44	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $117.49 / $128.82	Facility		$67.61	$117.49	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $107.15	Professional		$81.28	$102.33	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $56.23 / $104.71	Facility		$31.62	$56.23	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $144.54	Professional		$47.86	$95.50	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $104.71	Professional		$30.20	$30.20	$104.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $81.28 / $81.28	Facility		$67.61	$81.28	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $102.33	Professional		$63.10	$77.62	$102.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $95.50	Professional		$50.12	$53.70	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $104.71	Professional		$50.12	$74.13	$104.71