Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $72.44 / $72.44	Facility		$38.02	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $72.44	Professional		$36.31	$36.31	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $229.09	Facility		$77.62	$131.83	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $194.98	Professional		$138.04	$138.04	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $66.07 / $117.49	Facility		$64.57	$66.07	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $81.28	Professional		$36.31	$36.31	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $295.12	Facility		$151.36	$194.98	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $223.87	Professional		$138.04	$199.53	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33