Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $77.62	Facility		$53.70	$53.70	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $57.54	Professional		$16.98	$22.91	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $54.95 / $107.15	Facility		$29.51	$54.95	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.20 / $30.20	Professional		$29.51	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $61.66 / $114.82	Facility		$22.91	$61.66	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.90 / $57.54	Facility		$29.51	$38.90	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $38.90	Professional		$26.92	$30.90	$38.90
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 $44.67 / $57.54 / $107.15	Facility		$44.67	$57.54	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $30.90	Professional		$25.12	$25.12	$30.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $33.11	Professional		$12.30	$13.80	$33.11