Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $562.34	Facility		$489.78	$489.78	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $616.60	Professional		$489.78	$537.03	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $549.54 / $794.33	Facility		$512.86	$549.54	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $794.33	Professional		$489.78	$549.54	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $489.78 / $489.78	Facility		$467.74	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $616.60	Facility		$489.78	$489.78	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $616.60	Professional		$489.78	$489.78	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $977.24	Facility		$489.78	$489.78	$977.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $588.84	Professional		$537.03	$588.84	$588.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $549.54	Professional		$489.78	$489.78	$549.54