Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $107.15	Professional		$47.86	$72.44	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $194.98	Facility		$95.50	$117.49	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $134.90	Professional		$128.82	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Facility		$64.57	$64.57	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $64.57	Professional		$46.77	$46.77	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $102.33 / $131.83	Facility		$33.11	$102.33	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $123.03	Professional		$95.50	$117.49	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $91.20 / $107.15	Professional		$30.20	$91.20	$107.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $117.49	Facility		$114.82	$117.49	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $134.90	Professional		$87.10	$87.10	$134.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $123.03	Professional		$95.50	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $60.26	Facility		$50.12	$58.88	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $72.44	Professional		$47.86	$51.29	$72.44