Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $123.03	Professional		$72.44	$95.50	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $229.09	Facility		$112.20	$134.90	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $158.49	Professional		$151.36	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Facility		$87.10	$87.10	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $87.10	Professional		$63.10	$63.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $123.03 / $190.55	Facility		$44.67	$123.03	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $144.54	Professional		$117.49	$138.04	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $102.33 / $123.03	Professional		$30.20	$102.33	$123.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $138.04 / $138.04	Facility		$134.90	$138.04	$138.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $158.49	Professional		$100.00	$123.03	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $190.55	Professional		$112.20	$144.54	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $93.33	Facility		$69.18	$81.28	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $93.33	Professional		$64.57	$69.18	$93.33