Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $199.53	Facility		$173.78	$173.78	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $288.40	Professional		$173.78	$177.83	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $194.98 / $288.40	Facility		$173.78	$194.98	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $213.80	Professional		$181.97	$190.55	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $173.78	Facility		$162.18	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $186.21 / $239.88	Facility		$173.78	$186.21	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $218.78	Professional		$123.03	$181.97	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $123.03 / $144.54	Professional		$30.20	$123.03	$144.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $398.11	Facility		$165.96	$213.80	$398.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $218.78	Professional		$181.97	$204.17	$218.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Professional		$173.78	$173.78	$186.21