Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $776.25 / $3,162.28	Facility		$97.72	$776.25	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $223.87	Professional		$52.48	$91.20	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $645.65 / $1,202.26	Facility		$257.04	$645.65	$1,202.26
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $363.08 / $758.58 / $1,348.96	Facility	50	$363.08	$758.58	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $245.47	Professional		$97.72	$173.78	$245.47
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $288.40 / $380.19	Professional	50	$154.88	$288.40	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $204.17	Professional		$61.66	$97.72	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $177.83 / $1,122.02	Facility		$69.18	$177.83	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $263.03	Professional		$83.18	$112.20	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,288.25	Facility		$724.44	$891.25	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $275.42	Professional		$93.33	$125.89	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $676.08	Professional		$66.07	$123.03	$676.08
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 $64.57 / $107.15 / $199.53	Professional		$64.57	$107.15	$199.53