Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $512.86 / $5,495.41	Facility		$218.78	$512.86	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $3,715.35 / $3,890.45	Facility	50	$660.69	$3,715.35	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $512.86	Professional		$87.10	$204.17	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $478.63 / $1,071.52	Professional	50	$138.04	$478.63	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,174.90 / $2,398.83	Facility		$676.08	$1,174.90	$2,398.83
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $1,737.80 / $3,548.13	Facility	50	$933.25	$1,737.80	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $354.81	Professional		$154.88	$281.84	$354.81
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $436.52 / $524.81	Professional	50	$223.87	$436.52	$524.81
BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $23.99 / $47.86 / $56.23	Professional	80	$23.99	$47.86	$56.23
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 $107.15 / $169.82 / $302.00	Professional		$107.15	$169.82	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $234.42 / $537.03	Facility		$93.33	$234.42	$537.03
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $2,691.53 / $3,890.45	Facility	50	$660.69	$2,691.53	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $398.11	Professional		$134.90	$213.80	$398.11
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $346.74 / $1,023.29	Professional	50	$134.90	$346.74	$1,023.29
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 $144.54 / $239.88 / $371.54	Professional		$144.54	$239.88	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $977.24	Professional		$141.25	$181.97	$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 $100.00 / $181.97 / $331.13	Professional		$100.00	$181.97	$331.13