Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Facility		$194.98	$194.98	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $245.47	Professional		$194.98	$213.80	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $457.09	Facility		$190.55	$275.42	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $316.23	Professional		$190.55	$234.42	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Facility		$194.98	$194.98	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $245.47	Professional		$194.98	$213.80	$245.47
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 $194.98 / $275.42 / $457.09	Facility		$194.98	$275.42	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $245.47	Professional		$234.42	$234.42	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Professional		$199.53	$199.53	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98