Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $128.82	Facility		$112.20	$112.20	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $302.00	Professional		$112.20	$123.03	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $436.52	Facility		$151.36	$213.80	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $457.09	Professional		$123.03	$134.90	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $112.20	Facility		$104.71	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $138.04	Facility		$112.20	$112.20	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $194.98	Professional		$112.20	$123.03	$194.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $302.00	Facility		$131.83	$177.83	$302.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $138.04	Professional		$134.90	$134.90	$138.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $338.84	Professional		$109.65	$109.65	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $177.83	Professional		$112.20	$112.20	$177.83