Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,202.26	Facility		$831.76	$831.76	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $457.09	Professional		$251.19	$354.81	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $1,659.59	Facility		$467.74	$870.96	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $478.63 / $478.63	Professional		$467.74	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $977.24 / $1,819.70	Facility		$363.08	$977.24	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $912.01	Facility		$467.74	$467.74	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $588.84	Professional		$436.52	$489.78	$588.84
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 $691.83 / $912.01 / $1,659.59	Facility		$691.83	$912.01	$1,659.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $489.78	Professional		$398.11	$398.11	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $467.74	Professional		$194.98	$194.98	$467.74