Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,122.02	Facility		$691.83	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $954.99	Professional		$691.83	$691.83	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,513.56	Facility		$630.96	$912.01	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $758.58	Professional		$660.69	$660.69	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $691.83	Facility		$645.65	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $891.25	Facility		$691.83	$758.58	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $851.14	Professional		$691.83	$724.44	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,513.56	Facility		$645.65	$912.01	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $831.76	Professional		$691.83	$831.76	$831.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $707.95	Professional		$691.83	$691.83	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $724.44	Professional		$691.83	$691.83	$724.44