Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $616.60 / $7,079.46	Facility		$173.78	$616.60	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	50	$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $229.09	Professional		$60.26	$131.83	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $91.20 / $91.20	Professional	50	$91.20	$91.20	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $794.33 / $1,819.70	Facility		$269.15	$794.33	$1,819.70
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $371.54 / $1,071.52 / $2,754.23	Facility	50	$371.54	$1,071.52	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $194.98	Professional		$100.00	$147.91	$194.98
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $251.19 / $295.12	Professional	50	$151.36	$251.19	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $186.21	Professional		$74.13	$114.82	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $144.54 / $323.59	Facility		$67.61	$144.54	$323.59
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	50	$1,122.02	$1,122.02	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $263.03	Professional		$87.10	$158.49	$263.03
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $91.20 / $91.20	Professional	50	$91.20	$91.20	$91.20
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 / $2,238.72	Facility		$1,230.27	$1,548.82	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $2,630.27 / $3,388.44	Facility	50	$1,862.09	$2,630.27	$3,388.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $208.93	Professional		$95.50	$134.90	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $1,047.13	Professional		$89.13	$109.65	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,630.27 / $4,466.84	Facility		$446.68	$2,630.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $204.17	Professional		$72.44	$120.23	$204.17