Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $147.91 / $933.25	Facility		$93.33	$147.91	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $117.49	Professional		$93.33	$102.33	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $194.98	Facility		$64.57	$114.82	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $218.78	Professional		$95.50	$151.36	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Facility		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $117.49 / $177.83	Facility		$93.33	$117.49	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $117.49	Professional		$39.81	$93.33	$117.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $234.42	Facility		$97.72	$138.04	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $117.49	Professional		$112.20	$112.20	$117.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Professional		$95.50	$95.50	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $100.00	Professional		$93.33	$93.33	$100.00