Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $275.42 / $5,495.41	Facility		$74.13	$275.42	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $81.28 / $707.95 / $707.95	Facility	50	$81.28	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $194.98	Professional		$35.48	$74.13	$194.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $151.36 / $478.63	Professional	50	$69.18	$151.36	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $338.84 / $776.25	Facility		$154.88	$338.84	$776.25
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $234.42 / $467.74 / $1,148.15	Facility	50	$234.42	$467.74	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $107.15	Professional		$60.26	$74.13	$107.15
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $131.83 / $162.18	Professional	50	$91.20	$131.83	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $87.10	Professional		$40.74	$60.26	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $134.90	Facility		$40.74	$74.13	$134.90
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $81.28 / $81.28 / $707.95	Facility	50	$81.28	$81.28	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $123.03	Professional		$51.29	$77.62	$123.03
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $144.54 / $309.03	Professional	50	$50.12	$144.54	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $954.99	Facility		$537.03	$660.69	$954.99
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $1,096.48 / $1,412.54	Facility	50	$794.33	$1,096.48	$1,412.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $109.65	Professional		$48.98	$72.44	$109.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $467.74	Professional		$47.86	$66.07	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,819.70 / $9,332.54	Facility		$151.36	$1,819.70	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $95.50	Professional		$40.74	$63.10	$95.50