Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,137.96 / $4,786.30	Facility		$512.86	$2,137.96	$4,786.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,202.26 / $1,202.26 / $2,089.30	Facility	52	$1,202.26	$1,202.26	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $707.95	Professional		$112.20	$257.04	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,238.72	Facility		$912.01	$1,621.81	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $562.34	Professional		$223.87	$416.87	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $524.81	Professional		$147.91	$295.12	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $398.11 / $2,137.96	Facility		$165.96	$398.11	$2,137.96
Moda Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,202.26 / $1,202.26 / $2,089.30	Facility	52	$1,202.26	$1,202.26	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $288.40 / $616.60	Professional		$123.03	$288.40	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,884.03	Facility		$1,318.26	$1,949.84	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $588.84	Professional		$190.55	$380.19	$588.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $302.00 / $1,000.00	Professional		$138.04	$302.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,165.95 / $7,762.47	Facility		$3,467.37	$6,165.95	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $524.81	Professional		$141.25	$288.40	$524.81