Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,174.90	Facility		$812.83	$812.83	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $870.96	Professional		$245.47	$363.08	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $851.14 / $1,621.81	Facility		$446.68	$851.14	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $457.09	Professional		$446.68	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $933.25 / $1,778.28	Facility		$354.81	$933.25	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $446.68 / $870.96	Facility		$426.58	$446.68	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $562.34	Professional		$426.58	$478.63	$562.34
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 $676.08 / $870.96 / $1,621.81	Facility		$676.08	$870.96	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Professional		$380.19	$380.19	$478.63
Select Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $446.68	Professional		$190.55	$190.55	$446.68