Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $676.08 / $5,495.41	Facility		$123.03	$676.08	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	50	$1,318.26	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $562.34	Professional		$79.43	$199.53	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $229.09 / $229.09	Professional	50	$218.78	$229.09	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $2,398.83	Facility		$630.96	$1,202.26	$2,398.83
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $1,778.28 / $3,548.13	Facility	50	$933.25	$1,778.28	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $338.84 / $446.68	Professional		$144.54	$338.84	$446.68
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $257.04 / $676.08	Professional	50	$218.78	$257.04	$676.08
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 $95.50 / $186.21 / $380.19	Professional		$95.50	$186.21	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $245.47 / $645.65	Facility		$93.33	$245.47	$645.65
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	50	$1,318.26	$1,318.26	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $489.78	Professional		$125.89	$239.88	$489.78
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $229.09	Professional	50	$218.78	$218.78	$229.09
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 $134.90 / $323.59 / $478.63	Professional		$134.90	$323.59	$478.63
Select Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $1,412.54	Professional		$147.91	$223.87	$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 $91.20 / $177.83 / $380.19	Professional		$91.20	$177.83	$380.19