Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $323.59 / $5,495.41	Facility		$128.82	$323.59	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $288.40	Professional		$89.13	$162.18	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,128.61 / $12,882.50	Facility		$2,290.87	$5,128.61	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $295.12	Professional		$173.78	$239.88	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $251.19	Professional		$91.20	$158.49	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $190.55 / $954.99	Facility		$104.71	$190.55	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $288.40	Professional		$100.00	$165.96	$288.40
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 $8,912.51 / $11,220.18 / $16,218.10	Facility		$8,912.51	$11,220.18	$16,218.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $257.04	Professional		$131.83	$181.97	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $9,549.93	Professional		$131.83	$138.04	$9,549.93
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 $85.11 / $131.83 / $194.98	Professional		$85.11	$131.83	$194.98