Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,548.13 / $5,495.41	Facility		$407.38	$3,548.13	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $2,754.23 / $2,754.23	Facility	50	$1,318.26	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $457.09	Professional		$162.18	$234.42	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	50	$512.86	$512.86	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $5,128.61	Facility		$1,513.56	$2,187.76	$5,128.61
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $3,311.31 / $7,585.78	Facility	50	$2,187.76	$3,311.31	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $316.23	Professional		$263.03	$309.03	$316.23
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $389.05 / $457.09 / $478.63	Professional	50	$389.05	$457.09	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $302.00	Professional		$186.21	$245.47	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $389.05 / $3,801.89	Facility		$186.21	$389.05	$3,801.89
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $2,754.23 / $2,754.23	Facility	50	$1,318.26	$2,754.23	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $316.23	Professional		$151.36	$239.88	$316.23
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	50	$512.86	$512.86	$512.86
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 / $4,168.69 / $5,495.41	Facility		$3,090.30	$4,168.69	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $6,606.93 / $8,317.64	Facility	50	$4,570.88	$6,606.93	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $338.84	Professional		$213.80	$316.23	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $3,801.89	Professional		$125.89	$281.84	$3,801.89
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 $162.18 / $229.09 / $331.13	Professional		$162.18	$229.09	$331.13