Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,412.54 / $5,495.41	Facility		$158.49	$1,412.54	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	50	$3,890.45	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $239.88	Professional		$67.61	$128.82	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	50	$489.78	$489.78	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,000.00 / $2,398.83	Facility		$489.78	$1,000.00	$2,398.83
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $1,380.38 / $3,548.13	Facility	50	$741.31	$1,380.38	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $194.98	Professional		$93.33	$154.88	$194.98
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $239.88 / $288.40	Professional	50	$158.49	$239.88	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $181.97	Professional		$69.18	$112.20	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $154.88 / $302.00	Facility		$63.10	$154.88	$302.00
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	50	$3,890.45	$3,890.45	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $239.88	Professional		$83.18	$147.91	$239.88
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 $87.10 / $134.90 / $208.93	Professional		$87.10	$134.90	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $1,412.54	Professional		$85.11	$102.33	$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 $74.13 / $128.82 / $223.87	Professional		$74.13	$128.82	$223.87