Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $323.59	Facility		$194.98	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $363.08	Professional		$194.98	$199.53	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $223.87 / $323.59	Facility		$204.17	$223.87	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $239.88	Professional		$190.55	$213.80	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $208.93 / $257.04	Facility		$194.98	$208.93	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $257.04	Professional		$194.98	$208.93	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $436.52	Facility		$177.83	$234.42	$436.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $245.47	Professional		$204.17	$229.09	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $208.93	Professional		$194.98	$194.98	$208.93