Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Facility		$194.98	$194.98	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $208.93	Professional		$57.54	$85.11	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $199.53 / $389.05	Facility		$107.15	$199.53	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $109.65	Professional		$107.15	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $138.04 / $208.93	Facility		$75.86	$138.04	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $138.04	Professional		$89.13	$112.20	$138.04
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 Facility Modifier Low / Median / High Price $162.18 / $208.93 / $389.05	Facility		$162.18	$208.93	$389.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Professional		$91.20	$91.20	$112.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $107.15	Professional		$44.67	$44.67	$107.15