Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $138.04	Facility		$120.23	$120.23	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $151.36	Professional		$120.23	$131.83	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $138.04 / $194.98	Facility		$120.23	$138.04	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $194.98	Professional		$125.89	$138.04	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $120.23 / $120.23	Facility		$114.82	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $151.36	Facility		$120.23	$120.23	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $151.36	Professional		$120.23	$125.89	$151.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $269.15	Facility		$120.23	$125.89	$269.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $144.54	Professional		$131.83	$144.54	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23