Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $104.71	Professional		$97.72	$102.33	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $75.86 / $218.78	Facility		$30.20	$75.86	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Professional		$107.15	$107.15	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $104.71 / $147.91	Facility		$25.70	$104.71	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $104.71	Professional		$97.72	$100.00	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $218.78 / $371.54	Facility		$162.18	$218.78	$371.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Professional		$107.15	$107.15	$134.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $162.18	Professional		$100.00	$114.82	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33