Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $125.89	Professional		$79.43	$79.43	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $239.88	Facility		$81.28	$128.82	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $338.84	Professional		$239.88	$239.88	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $144.54	Facility		$79.43	$83.18	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $89.13	Professional		$79.43	$79.43	$89.13
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 $131.83 / $181.97 / $239.88	Facility		$131.83	$181.97	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $389.05	Professional		$173.78	$281.84	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74