Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,023.29	Facility		$549.54	$549.54	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $831.76	Professional		$549.54	$562.34	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,548.82	Facility		$676.08	$977.24	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $676.08	Professional		$602.56	$602.56	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $549.54 / $549.54	Facility		$512.86	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $602.56 / $812.83	Facility		$549.54	$602.56	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $691.83	Professional		$549.54	$575.44	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $478.63 / $562.34	Professional		$30.20	$478.63	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $1,548.82	Facility		$588.84	$954.99	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $660.69	Professional		$549.54	$660.69	$660.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Professional		$524.81	$524.81	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Professional		$549.54	$549.54	$575.44