Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $5,495.41	Facility		$3,388.44	$4,466.84	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	50	$1,819.70	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $3,235.94 / $7,762.47	Professional		$281.84	$3,235.94	$7,762.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional	50	$5,888.44	$5,888.44	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $12,589.25 / $21,379.62	Facility		$1,949.84	$12,589.25	$21,379.62
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,235.94 / $19,054.61 / $32,359.37	Facility	50	$3,235.94	$19,054.61	$32,359.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $4,570.88 / $5,754.40	Professional		$467.74	$4,570.88	$5,754.40
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $724.44 / $7,943.28 / $8,709.64	Professional	50	$724.44	$7,943.28	$8,709.64
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $64.57 / $69.18 / $724.44	Professional	AS	$64.57	$69.18	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $6,309.57	Professional		$302.00	$524.81	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $3,388.44 / $10,000.00	Facility		$295.12	$3,388.44	$10,000.00
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	50	$1,819.70	$1,819.70	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $3,162.28 / $5,888.44	Professional		$331.13	$3,162.28	$5,888.44
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional	50	$5,888.44	$5,888.44	$5,888.44
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 $12,302.69 / $15,488.17 / $21,379.62	Facility		$12,302.69	$15,488.17	$21,379.62
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $18,620.87 / $23,988.33 / $32,359.37	Facility	50	$18,620.87	$23,988.33	$32,359.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $6,165.95	Professional		$346.74	$549.54	$6,165.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,754.23 / $16,218.10	Professional		$478.63	$2,754.23	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $16,982.44 / $18,197.01	Facility		$9,332.54	$16,982.44	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $2,951.21 / $6,309.57	Professional		$281.84	$2,951.21	$6,309.57