Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $5,495.41	Facility		$776.25	$2,238.72	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $1,288.25	Professional		$245.47	$478.63	$1,288.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $109.65 / $158.49 / $257.04	Professional	53	$109.65	$158.49	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,884.03	Facility		$1,023.29	$1,659.59	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $891.25	Professional		$457.09	$660.69	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $851.14	Professional		$309.03	$489.78	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $1,905.46	Facility		$346.74	$691.83	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $1,000.00	Professional		$275.42	$537.03	$1,000.00
Moda Health Facility/Professional Professional Modifier 53 Low / Median / High Price $104.71 / $147.91 / $194.98	Professional	53	$104.71	$147.91	$194.98
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 $1,698.24 / $2,398.83 / $3,715.35	Facility		$1,698.24	$2,398.83	$3,715.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $933.25	Professional		$398.11	$630.96	$933.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $1,412.54	Professional		$288.40	$489.78	$1,412.54
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 $295.12 / $524.81 / $891.25	Professional		$295.12	$524.81	$891.25