Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $9,772.37	Facility		$3,388.44	$7,413.10	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $19,054.61 / $19,054.61	Facility	50	$3,630.78	$19,054.61	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $2,041.74	Professional		$467.74	$794.33	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $8,912.51	Facility		$2,511.89	$4,786.30	$8,912.51
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $7,079.46 / $13,489.63	Facility	50	$3,715.35	$7,079.46	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,023.29	Professional		$851.14	$1,000.00	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,071.52	Professional		$436.52	$758.58	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $7,413.10	Facility		$537.03	$851.14	$7,413.10
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $3,630.78 / $19,054.61	Facility	50	$3,630.78	$3,630.78	$19,054.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $1,380.38	Professional		$524.81	$912.01	$1,380.38
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 / $7,762.47 / $12,302.69	Facility		$6,165.95	$7,762.47	$12,302.69
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,332.54 / $13,182.57 / $18,620.87	Facility	50	$9,332.54	$13,182.57	$18,620.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,096.48	Professional		$758.58	$1,000.00	$1,096.48
Select Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $3,630.78	Professional		$457.09	$524.81	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $16,982.44 / $18,197.01	Facility		$9,332.54	$16,982.44	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,071.52	Professional		$512.86	$724.44	$1,071.52