Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $724.44 / $4,466.84	Facility		$147.91	$724.44	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $363.08 / $1,047.13 / $1,949.84	Facility	50	$363.08	$1,047.13	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $281.84	Professional		$57.54	$107.15	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $331.13 / $1,659.59	Professional	50	$100.00	$331.13	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $371.54 / $851.14	Facility		$173.78	$371.54	$851.14
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $263.03 / $549.54 / $1,258.93	Facility	50	$263.03	$549.54	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $194.98	Professional		$102.33	$147.91	$194.98
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $177.83 / $281.84	Professional	50	$151.36	$177.83	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $165.96	Professional		$72.44	$109.65	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $147.91 / $794.33	Facility		$63.10	$147.91	$794.33
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $363.08 / $933.25 / $1,949.84	Facility	50	$363.08	$933.25	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $204.17	Professional		$83.18	$125.89	$204.17
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $234.42 / $562.34	Professional	50	$100.00	$234.42	$562.34
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 Professional Modifier Low / Median / High Price $95.50 / $131.83 / $204.17	Professional		$95.50	$131.83	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $208.93	Professional		$67.61	$102.33	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,819.70 / $9,332.54	Facility		$151.36	$1,819.70	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $181.97	Professional		$66.07	$109.65	$181.97