Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $645.65 / $5,495.41	Facility		$257.04	$645.65	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $602.56	Professional		$77.62	$204.17	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $234.42 / $354.81	Professional	50	$74.13	$234.42	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $190.55 / $331.13	Facility		$83.18	$190.55	$331.13
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $117.49 / $269.15 / $501.19	Facility	50	$117.49	$269.15	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $467.74	Professional		$141.25	$331.13	$467.74
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $229.09 / $691.83	Professional	50	$208.93	$229.09	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $426.58	Professional		$93.33	$158.49	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $269.15 / $776.25	Facility		$102.33	$269.15	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $229.09 / $501.19	Professional		$85.11	$229.09	$501.19
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $234.42 / $354.81	Professional	50	$74.13	$234.42	$354.81
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 $229.09 / $309.03 / $407.38	Facility		$229.09	$309.03	$407.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $346.74 / $489.78 / $602.56	Facility	50	$346.74	$489.78	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $501.19	Professional		$104.71	$165.96	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $446.68	Professional		$144.54	$245.47	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,317.64 / $9,332.54	Facility		$1,819.70	$8,317.64	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $398.11	Professional		$87.10	$177.83	$398.11