Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $165.96	Professional		$154.88	$162.18	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $181.97 / $416.87	Facility		$162.18	$181.97	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $234.42	Facility		$165.96	$165.96	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $165.96	Professional		$158.49	$162.18	$165.96
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 $162.18 / $165.96 / $416.87	Facility		$162.18	$165.96	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $204.17	Professional		$162.18	$162.18	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $416.87	Professional		$338.84	$338.84	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49