Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	50	$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $128.82	Professional		$32.36	$57.54	$128.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $102.33 / $213.80	Professional	50	$77.62	$102.33	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $204.17 / $407.38	Facility		$75.86	$204.17	$407.38
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $107.15 / $251.19 / $616.60	Facility	50	$107.15	$251.19	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $125.89	Professional		$44.67	$74.13	$125.89
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $173.78 / $186.21	Professional	50	$64.57	$173.78	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $107.15	Professional		$31.62	$52.48	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $66.07 / $131.83	Facility		$30.20	$66.07	$131.83
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	50	$309.03	$309.03	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $128.82	Professional		$38.90	$79.43	$128.82
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $91.20 / $213.80	Professional	50	$77.62	$91.20	$213.80
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 $281.84 / $354.81 / $501.19	Facility		$281.84	$354.81	$501.19
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $426.58 / $588.84 / $758.58	Facility	50	$426.58	$588.84	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $131.83	Professional		$37.15	$56.23	$131.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $251.19	Professional		$37.15	$58.88	$251.19
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 $36.31 / $60.26 / $107.15	Professional		$36.31	$60.26	$107.15