Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,412.54 / $5,495.41	Facility		$323.59	$1,412.54	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	50	$3,311.31	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $331.13 / $676.08	Professional		$117.49	$331.13	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $812.83 / $1,778.28	Facility		$446.68	$812.83	$1,778.28
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $1,174.90 / $2,691.53	Facility	50	$676.08	$1,174.90	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $501.19 / $602.56	Professional		$199.53	$501.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $562.34	Professional		$131.83	$223.87	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $616.60 / $2,041.74	Facility		$177.83	$616.60	$2,041.74
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	50	$3,311.31	$3,311.31	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $331.13 / $616.60	Professional		$131.83	$331.13	$616.60
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 $1,122.02 / $1,412.54 / $1,995.26	Facility		$1,122.02	$1,412.54	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $2,238.72 / $3,019.95	Facility	50	$1,698.24	$2,238.72	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $645.65	Professional		$147.91	$229.09	$645.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $1,513.56	Professional		$204.17	$288.40	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $4,466.84	Facility		$2,630.27	$4,168.69	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $891.25	Professional		$123.03	$281.84	$891.25