Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $1,412.54	Facility		$467.74	$549.54	$1,412.54
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	54	$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $691.83	Professional		$269.15	$407.38	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $331.13 / $707.95	Facility		$141.25	$331.13	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $691.83	Professional		$512.86	$616.60	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $562.34	Professional		$316.23	$416.87	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $812.83	Facility		$316.23	$512.86	$812.83
Moda Health Facility/Professional Facility Modifier 54 Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	54	$602.56	$602.56	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $870.96	Professional		$426.58	$691.83	$870.96
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 $426.58 / $549.54 / $741.31	Facility		$426.58	$549.54	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $707.95	Professional		$407.38	$602.56	$707.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $676.08	Professional		$309.03	$398.11	$676.08
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 $295.12 / $436.52 / $630.96	Professional		$295.12	$436.52	$630.96