Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,778.28 / $5,495.41	Facility		$380.19	$1,778.28	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $2,089.30 / $2,238.72	Facility	50	$1,778.28	$2,089.30	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $616.60	Professional		$125.89	$257.04	$616.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $346.74 / $1,318.26	Professional	50	$234.42	$346.74	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $954.99 / $2,290.87	Facility		$380.19	$954.99	$2,290.87
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $1,380.38 / $3,548.13	Facility	50	$562.34	$1,380.38	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $524.81	Professional		$223.87	$398.11	$524.81
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $645.65 / $794.33	Professional	50	$363.08	$645.65	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $457.09	Professional		$154.88	$239.88	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $354.81 / $794.33	Facility		$138.04	$354.81	$794.33
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $2,089.30 / $2,238.72	Facility	50	$1,778.28	$2,089.30	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $575.44	Professional		$190.55	$316.23	$575.44
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $346.74 / $1,318.26	Professional	50	$234.42	$346.74	$1,318.26
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 $208.93 / $371.54 / $549.54	Professional		$208.93	$371.54	$549.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $1,000.00	Professional		$223.87	$275.42	$1,000.00
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 $144.54 / $263.03 / $489.78	Professional		$144.54	$263.03	$489.78