Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,023.29	Facility		$707.95	$707.95	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $758.58	Professional		$263.03	$363.08	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $1,412.54	Facility		$389.05	$724.44	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $426.58	Professional		$331.13	$389.05	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $812.83 / $1,513.56	Facility		$302.00	$812.83	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $562.34	Professional		$371.54	$446.68	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $707.95	Facility		$389.05	$389.05	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $467.74	Professional		$380.19	$407.38	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $724.44 / $1,412.54	Facility		$588.84	$724.44	$1,412.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $407.38	Professional		$331.13	$331.13	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $467.74	Professional		$165.96	$165.96	$467.74