Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $109.65	Professional		$57.54	$77.62	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $208.93	Facility		$91.20	$123.03	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $144.54	Professional		$138.04	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $104.71	Facility		$81.28	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $104.71	Professional		$89.13	$89.13	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $123.03 / $134.90	Facility		$47.86	$123.03	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $131.83	Professional		$107.15	$125.89	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $112.20	Professional		$30.20	$30.20	$112.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $125.89 / $125.89	Facility		$123.03	$125.89	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $144.54	Professional		$91.20	$95.50	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $134.90	Professional		$102.33	$131.83	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $89.13 / $89.13	Facility		$77.62	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $89.13	Professional		$53.70	$58.88	$89.13