Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $346.74	Facility		$208.93	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $295.12	Professional		$208.93	$213.80	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $239.88 / $346.74	Facility		$218.78	$239.88	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $257.04	Professional		$208.93	$234.42	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $208.93	Facility		$199.53	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $223.87 / $281.84	Facility		$208.93	$223.87	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $263.03	Professional		$208.93	$223.87	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $151.36 / $177.83	Professional		$30.20	$151.36	$177.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $263.03 / $512.86	Facility		$213.80	$263.03	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $263.03	Professional		$218.78	$251.19	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $218.78	Professional		$213.80	$213.80	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $223.87	Professional		$208.93	$208.93	$223.87