Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $4,466.84 / $5,495.41	Facility		$457.09	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $724.44	Professional		$245.47	$407.38	$724.44
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $316.23 / $398.11 / $724.44	Professional	54	$316.23	$398.11	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $295.12 / $707.95	Facility		$102.33	$295.12	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $630.96	Professional		$489.78	$575.44	$630.96
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $446.68 / $524.81 / $562.34	Professional	54	$446.68	$524.81	$562.34
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 $295.12 / $389.05 / $501.19	Professional		$295.12	$389.05	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $724.44	Facility		$275.42	$436.52	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $707.95	Professional		$380.19	$575.44	$707.95
Moda Health Facility/Professional Professional Modifier 54 Low / Median / High Price $316.23 / $398.11 / $724.44	Professional	54	$316.23	$398.11	$724.44
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 $398.11 / $575.44 / $645.65	Professional		$398.11	$575.44	$645.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $660.69	Professional		$281.84	$354.81	$660.69
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 $275.42 / $416.87 / $588.84	Professional		$275.42	$416.87	$588.84