Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Facility		$77.62	$77.62	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $95.50	Professional		$77.62	$85.11	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $123.03	Facility		$77.62	$95.50	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $123.03	Professional		$77.62	$93.33	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $77.62 / $77.62	Facility		$72.44	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $97.72	Facility		$77.62	$77.62	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $97.72	Professional		$77.62	$77.62	$97.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $173.78	Facility		$77.62	$77.62	$173.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $97.72	Professional		$93.33	$93.33	$97.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62