Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $123.03	Professional		$54.95	$85.11	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $223.87	Facility		$109.65	$134.90	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $154.88	Professional		$147.91	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $91.20	Facility		$87.10	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $91.20	Professional		$66.07	$66.07	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $123.03 / $309.03	Facility		$44.67	$123.03	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $141.25	Professional		$117.49	$134.90	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $104.71 / $123.03	Professional		$30.20	$104.71	$123.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $134.90 / $134.90	Facility		$131.83	$134.90	$134.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $154.88	Professional		$100.00	$109.65	$154.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $154.88	Professional		$109.65	$141.25	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $69.18 / $81.28	Facility		$39.81	$69.18	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $93.33	Professional		$64.57	$69.18	$93.33