Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,466.84 / $11,481.54	Facility		$489.78	$4,466.84	$11,481.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $7,585.78 / $10,964.78	Facility	50	$1,412.54	$7,585.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $724.44	Professional		$234.42	$416.87	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $380.19 / $478.63	Professional	50	$134.90	$380.19	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,890.45 / $8,317.64	Facility		$1,949.84	$3,890.45	$8,317.64
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $5,888.44 / $12,589.25	Facility	50	$2,884.03	$5,888.44	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $588.84	Professional		$331.13	$478.63	$588.84
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $537.03 / $870.96	Professional	50	$457.09	$537.03	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $512.86	Professional		$213.80	$323.59	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $676.08 / $7,244.36	Facility		$295.12	$676.08	$7,244.36
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,621.81 / $7,585.78 / $12,302.69	Facility	50	$1,621.81	$7,585.78	$12,302.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $602.56	Professional		$239.88	$354.81	$602.56
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $380.19 / $478.63	Professional	50	$134.90	$380.19	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
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
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $616.60	Professional		$239.88	$380.19	$616.60
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $2,818.38	Professional		$269.15	$331.13	$2,818.38
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
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $741.31	Professional		$213.80	$398.11	$741.31