Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $1,412.54 / $5,495.41	Facility		$74.13	$1,412.54	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	50	$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $81.28 / $323.59	Professional		$28.84	$81.28	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	50	$125.89	$125.89	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,202.26 / $2,398.83	Facility		$489.78	$1,202.26	$2,398.83
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $1,778.28 / $3,548.13	Facility	50	$741.31	$1,778.28	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $67.61	Professional		$42.66	$53.70	$67.61
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $74.13 / $100.00	Professional	50	$63.10	$74.13	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $199.53	Professional		$31.62	$53.70	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $81.28 / $446.68	Facility		$27.54	$81.28	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $97.72	Professional		$37.15	$60.26	$97.72
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	50	$125.89	$125.89	$125.89
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 $1,659.59 / $2,041.74 / $2,951.21	Facility		$1,659.59	$2,041.74	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $3,388.44 / $4,466.84	Facility	50	$2,454.71	$3,388.44	$4,466.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $177.83	Professional		$39.81	$52.48	$177.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $1,412.54	Professional		$30.20	$45.71	$1,412.54
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 $33.88 / $91.20 / $275.42	Professional		$33.88	$91.20	$275.42