Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $933.25	Facility		$645.65	$645.65	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $691.83	Professional		$194.98	$288.40	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $660.69 / $1,288.25	Facility		$354.81	$660.69	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $363.08	Professional		$354.81	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $741.31 / $1,380.38	Facility		$275.42	$741.31	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $691.83	Facility		$354.81	$354.81	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $446.68	Professional		$346.74	$407.38	$446.68
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 $537.03 / $691.83 / $1,288.25	Facility		$537.03	$691.83	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $371.54	Professional		$302.00	$302.00	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $354.81	Professional		$147.91	$147.91	$354.81