Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $501.19	Professional		$100.00	$117.49	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $158.49	Professional		$151.36	$151.36	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $144.54	Facility		$107.15	$125.89	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $144.54	Professional		$95.50	$125.89	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $144.54	Professional		$141.25	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $67.61	Professional		$47.86	$60.26	$67.61