Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $295.12	Facility		$204.17	$204.17	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $223.87	Professional		$75.86	$107.15	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $407.38	Facility		$114.82	$199.53	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $123.03	Professional		$97.72	$114.82	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $239.88 / $446.68	Facility		$89.13	$239.88	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $165.96	Professional		$109.65	$131.83	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $147.91 / $234.42	Facility		$114.82	$147.91	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $147.91	Professional		$97.72	$120.23	$147.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $407.38	Facility		$169.82	$223.87	$407.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $120.23	Professional		$97.72	$97.72	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $138.04	Professional		$47.86	$47.86	$138.04