Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $489.78 / $4,466.84	Facility		$218.78	$489.78	$4,466.84
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	52	$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $213.80 / $549.54	Professional		$74.13	$213.80	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,148.15 / $2,041.74	Facility		$512.86	$1,148.15	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $354.81 / $436.52	Professional		$147.91	$354.81	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $407.38	Professional		$97.72	$162.18	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $316.23 / $812.83	Facility		$120.23	$316.23	$812.83
Moda Health Facility/Professional Facility Modifier 52 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	52	$478.63	$478.63	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $436.52	Professional		$100.00	$229.09	$436.52
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 $1,230.27 / $1,548.82 / $2,187.76	Facility		$1,230.27	$1,548.82	$2,187.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $398.11	Professional		$109.65	$154.88	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $812.83	Professional		$154.88	$204.17	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $4,466.84	Facility		$2,630.27	$4,168.69	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $380.19	Professional		$104.71	$218.78	$380.19