Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,041.74 / $4,570.88	Facility		$645.65	$2,041.74	$4,570.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $158.49 / $323.59 / $758.58	Facility	53	$158.49	$323.59	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $1,000.00	Professional		$181.97	$363.08	$1,000.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $67.61 / $138.04 / $338.84	Professional	53	$67.61	$138.04	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,187.76	Facility		$1,047.13	$1,380.38	$2,187.76
BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	53	$1,548.82	$1,548.82	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $676.08	Professional		$338.84	$537.03	$676.08
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $169.82 / $234.42 / $331.13	Professional	53	$169.82	$234.42	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $645.65	Professional		$229.09	$363.08	$645.65
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $79.43 / $162.18 / $295.12	Professional	53	$79.43	$162.18	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $549.54 / $2,290.87	Facility		$251.19	$549.54	$2,290.87
Moda Health Facility/Professional Facility Modifier 53 Low / Median / High Price $269.15 / $338.84 / $758.58	Facility	53	$269.15	$338.84	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $758.58	Professional		$204.17	$398.11	$758.58
Moda Health Facility/Professional Professional Modifier 53 Low / Median / High Price $83.18 / $158.49 / $389.05	Professional	53	$83.18	$158.49	$389.05
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 $1,318.26 / $2,041.74 / $2,884.03	Facility		$1,318.26	$2,041.74	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier 53 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	53	$1,548.82	$1,548.82	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $707.95	Professional		$288.40	$467.74	$707.95
Regence BlueShield Facility/Professional Professional Modifier 53 Low / Median / High Price $144.54 / $208.93 / $338.84	Professional	53	$144.54	$208.93	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $1,174.90	Professional		$208.93	$363.08	$1,174.90
Select Health Facility/Professional Professional Modifier 53 Low / Median / High Price $112.20 / $234.42 / $338.84	Professional	53	$112.20	$234.42	$338.84
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 $213.80 / $380.19 / $660.69	Professional		$213.80	$380.19	$660.69
United Facility/Professional Professional Modifier 53 Low / Median / High Price $128.82 / $128.82 / $281.84	Professional	53	$128.82	$128.82	$281.84