Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $371.54	Facility		$257.04	$257.04	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $275.42	Professional		$77.62	$114.82	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $269.15 / $512.86	Facility		$141.25	$269.15	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $144.54	Professional		$141.25	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $295.12 / $562.34	Facility		$112.20	$295.12	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $275.42	Facility		$141.25	$141.25	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $177.83	Professional		$134.90	$151.36	$177.83
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 $213.80 / $275.42 / $512.86	Facility		$213.80	$275.42	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $151.36	Professional		$120.23	$120.23	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $141.25	Professional		$60.26	$60.26	$141.25