Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $14,125.38 / $28,183.83	Facility		$3,630.78	$14,125.38	$28,183.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,378.01 / $17,378.01 / $34,673.69	Facility	50	$17,378.01	$17,378.01	$34,673.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $5,754.40	Professional		$1,202.26	$1,862.09	$5,754.40
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $398.11 / $1,174.90	Professional	AS	$169.82	$398.11	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $13,182.57 / $33,884.42	Facility		$5,128.61	$13,182.57	$33,884.42
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,762.47 / $18,197.01 / $51,286.14	Facility	50	$7,762.47	$18,197.01	$51,286.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $2,570.40	Professional		$2,089.30	$2,454.71	$2,570.40
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $281.84 / $331.13 / $346.74	Professional	AS	$281.84	$331.13	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,344.23	Professional		$1,348.96	$1,862.09	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $26,915.35	Facility		$1,412.54	$3,548.13	$26,915.35
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $13,182.57 / $17,378.01 / $34,673.69	Facility	50	$13,182.57	$17,378.01	$34,673.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $3,162.28	Professional		$1,412.54	$2,137.96	$3,162.28
Moda Health Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $354.81 / $912.01	Professional	AS	$165.96	$354.81	$912.01
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 $23,988.33 / $29,512.09 / $45,708.82	Facility		$23,988.33	$29,512.09	$45,708.82
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $35,481.34 / $44,668.36 / $67,608.30	Facility	50	$35,481.34	$44,668.36	$67,608.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,019.95	Professional		$1,737.80	$2,454.71	$3,019.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $18,620.87	Professional		$1,047.13	$1,479.11	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $12,022.64 / $45,708.82	Facility		$4,786.30	$12,022.64	$45,708.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,019.95	Professional		$1,479.11	$2,041.74	$3,019.95