Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,495.41	Facility		$1,412.54	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $295.12	Professional		$112.20	$173.78	$295.12
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $87.10 / $275.42 / $489.78	Professional	54	$87.10	$275.42	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $316.23 / $707.95	Facility		$102.33	$316.23	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $251.19	Professional		$199.53	$239.88	$251.19
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $186.21 / $213.80 / $223.87	Professional	54	$186.21	$213.80	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $213.80	Professional		$131.83	$165.96	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $190.55 / $309.03	Facility		$120.23	$190.55	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $295.12	Professional		$162.18	$234.42	$295.12
Moda Health Facility/Professional Professional Modifier 54 Low / Median / High Price $87.10 / $275.42 / $489.78	Professional	54	$87.10	$275.42	$489.78
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 $426.58 / $524.81 / $741.31	Facility		$426.58	$524.81	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $251.19	Professional		$162.18	$229.09	$251.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $426.58	Professional		$114.82	$181.97	$426.58
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 $117.49 / $177.83 / $245.47	Professional		$117.49	$177.83	$245.47