Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,412.54 / $4,466.84	Facility		$295.12	$1,412.54	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $2,630.27 / $3,890.45	Facility	50	$851.14	$2,630.27	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $575.44	Professional		$102.33	$204.17	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $588.84 / $3,162.28	Professional	50	$229.09	$588.84	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,047.13 / $2,454.71	Facility		$446.68	$1,047.13	$2,454.71
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $1,548.82 / $3,630.78	Facility	50	$660.69	$1,548.82	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $380.19	Professional		$181.97	$288.40	$380.19
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $549.54 / $575.44	Professional	50	$309.03	$549.54	$575.44
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 $125.89 / $194.98 / $331.13	Professional		$125.89	$194.98	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $263.03 / $1,778.28	Facility		$112.20	$263.03	$1,778.28
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $2,570.40 / $3,890.45	Facility	50	$851.14	$2,570.40	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $407.38	Professional		$154.88	$234.42	$407.38
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $346.74 / $912.01	Professional	50	$181.97	$346.74	$912.01
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 $169.82 / $263.03 / $407.38	Professional		$169.82	$263.03	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $977.24	Professional		$162.18	$199.53	$977.24
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 $117.49 / $208.93 / $363.08	Professional		$117.49	$208.93	$363.08