Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,621.81 / $5,495.41	Facility		$245.47	$1,621.81	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $8,912.51 / $8,912.51	Facility	50	$2,884.03	$8,912.51	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $616.60	Professional		$181.97	$338.84	$616.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $645.65 / $1,023.29	Professional	50	$467.74	$645.65	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $4,466.84	Facility		$1,096.48	$2,344.23	$4,466.84
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $3,548.13 / $6,606.93	Facility	50	$1,737.80	$3,548.13	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $524.81	Professional		$295.12	$416.87	$524.81
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $478.63 / $794.33	Professional	50	$467.74	$478.63	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $436.52	Professional		$190.55	$309.03	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $891.25	Facility		$223.87	$407.38	$891.25
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $8,912.51 / $8,912.51	Facility	50	$2,884.03	$8,912.51	$8,912.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $537.03	Professional		$194.98	$316.23	$537.03
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,023.29 / $1,023.29	Professional	50	$645.65	$1,023.29	$1,023.29
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 $3,090.30 / $3,801.89 / $5,495.41	Facility		$3,090.30	$3,801.89	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $6,165.95 / $8,317.64	Facility	50	$4,570.88	$6,165.95	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $549.54	Professional		$213.80	$338.84	$549.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $2,137.96	Professional		$245.47	$302.00	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,165.95 / $7,762.47	Facility		$3,467.37	$6,165.95	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $537.03	Professional		$177.83	$302.00	$537.03