Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $5,495.41	Facility		$1,621.81	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $218.78	Professional		$128.82	$144.54	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $158.49 / $218.78	Facility		$97.72	$158.49	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $234.42	Professional		$97.72	$213.80	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,621.81 / $7,244.36	Facility		$128.82	$1,621.81	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $4,466.84	Professional		$128.82	$141.25	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $199.53	Facility		$109.65	$154.88	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $269.15	Professional		$213.80	$245.47	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $154.88	Professional		$97.72	$144.54	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,317.64 / $9,332.54	Facility		$1,819.70	$8,317.64	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $288.40	Professional		$144.54	$162.18	$288.40