Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $295.12	Facility		$114.82	$204.17	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $223.87	Professional		$61.66	$91.20	$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 $114.82 / $117.49 / $117.49	Professional		$114.82	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $239.88 / $446.68	Facility		$89.13	$239.88	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $147.91 / $223.87	Facility		$81.28	$147.91	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $147.91	Professional		$97.72	$120.23	$147.91
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 $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 / $114.82	Professional		$47.86	$47.86	$114.82