Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,884.03 / $5,495.41	Facility		$1,230.27	$2,884.03	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $6,309.57 / $10,964.78	Facility	50	$4,365.16	$6,309.57	$10,964.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,754.23 / $8,317.64	Facility		$1,174.90	$2,754.23	$8,317.64
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $4,073.80 / $12,589.25	Facility	50	$1,737.80	$4,073.80	$12,589.25
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,023.29 / $1,202.26 / $1,230.27	Professional	50	$1,023.29	$1,202.26	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $912.01 / $2,884.03	Facility		$389.05	$912.01	$2,884.03
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $6,309.57 / $10,964.78	Facility	50	$4,365.16	$6,309.57	$10,964.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $7,244.36 / $10,232.93	Facility		$5,248.07	$7,244.36	$10,232.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $11,481.54 / $15,135.61	Facility	50	$7,943.28	$11,481.54	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $12,302.69 / $12,302.69	Facility		$5,495.41	$12,302.69	$12,302.69