Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $64.57	Facility		$56.23	$56.23	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $70.79	Professional		$56.23	$61.66	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $131.83	Facility		$54.95	$79.43	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $91.20	Professional		$56.23	$67.61	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $56.23 / $56.23	Facility		$53.70	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $70.79	Facility		$56.23	$61.66	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $70.79	Professional		$56.23	$61.66	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $79.43 / $131.83	Facility		$56.23	$79.43	$131.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $70.79	Professional		$67.61	$67.61	$70.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23