Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,888.44 / $7,943.28	Facility		$912.01	$5,888.44	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Facility	50	$15,848.93	$15,848.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $912.01	Professional		$257.04	$575.44	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,248.07 / $10,000.00	Facility		$1,819.70	$5,248.07	$10,000.00
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,754.23 / $7,079.46 / $14,791.08	Facility	50	$2,754.23	$7,079.46	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $870.96	Professional		$707.95	$831.76	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $812.83	Professional		$524.81	$676.08	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,148.15 / $6,918.31	Facility		$512.86	$1,148.15	$6,918.31
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $5,888.44 / $5,888.44 / $15,848.93	Facility	50	$5,888.44	$5,888.44	$15,848.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $891.25	Professional		$478.63	$758.58	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,511.38 / $12,022.64	Facility		$6,165.95	$8,511.38	$12,022.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,120.11 / $13,182.57 / $18,197.01	Facility	50	$9,120.11	$13,182.57	$18,197.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $831.76	Professional		$602.56	$724.44	$831.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $660.69 / $9,120.11	Professional		$389.05	$660.69	$9,120.11
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 $389.05 / $588.84 / $912.01	Professional		$389.05	$588.84	$912.01