Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $302.00	Professional		$158.49	$213.80	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $512.86	Facility		$251.19	$331.13	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $389.05	Professional		$371.54	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $229.09 / $229.09	Facility		$218.78	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Professional		$169.82	$169.82	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $338.84 / $363.08	Facility		$102.33	$338.84	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $354.81	Professional		$288.40	$338.84	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $302.00	Professional		$30.20	$30.20	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $338.84	Facility		$331.13	$338.84	$338.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $389.05	Professional		$251.19	$257.04	$389.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $371.54	Professional		$275.42	$354.81	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $239.88 / $239.88	Facility		$208.93	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $245.47	Professional		$147.91	$158.49	$245.47