Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,495.41 / $9,772.37	Facility		$1,258.93	$5,495.41	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Facility	50	$19,498.45	$19,498.45	$19,498.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $912.01 / $5,370.32	Professional	50	$467.74	$912.01	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $9,549.93 / $14,454.40	Facility		$3,090.30	$9,549.93	$14,454.40
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $14,791.08 / $22,387.21	Facility	50	$4,786.30	$14,791.08	$22,387.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $891.25 / $1,047.13 / $5,888.44	Professional	50	$891.25	$1,047.13	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,073.80	Professional		$3,388.44	$3,388.44	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,905.46 / $6,165.95	Facility		$398.11	$1,905.46	$6,165.95
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $5,370.32 / $19,498.45 / $19,498.45	Facility	50	$5,370.32	$19,498.45	$19,498.45
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $741.31 / $5,495.41	Professional	50	$467.74	$741.31	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,182.57 / $17,782.79	Facility		$10,000.00	$13,182.57	$17,782.79
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $14,791.08 / $20,892.96 / $26,915.35	Facility	50	$14,791.08	$20,892.96	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $26,915.35 / $29,512.09	Facility		$11,748.98	$26,915.35	$29,512.09