Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,495.41	Facility		$1,412.54	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $398.11	Professional		$104.71	$165.96	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $407.38 / $645.65	Professional	50	$162.18	$407.38	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,096.48 / $2,238.72	Facility		$91.20	$1,096.48	$2,238.72
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $138.04 / $1,659.59 / $3,388.44	Facility	50	$138.04	$1,659.59	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $316.23	Professional		$181.97	$229.09	$316.23
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $407.38 / $478.63	Professional	50	$269.15	$407.38	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Facility		$102.33	$102.33	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $275.42	Professional		$128.82	$190.55	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $275.42 / $562.34	Facility		$134.90	$275.42	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $331.13	Professional		$151.36	$229.09	$331.13
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $275.42 / $645.65	Professional	50	$251.19	$275.42	$645.65
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 $794.33 / $1,548.82 / $2,238.72	Facility		$794.33	$1,548.82	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,174.90 / $2,344.23 / $3,388.44	Facility	50	$1,174.90	$2,344.23	$3,388.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $338.84	Professional		$147.91	$223.87	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $1,096.48	Professional		$114.82	$169.82	$1,096.48
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 $125.89 / $199.53 / $316.23	Professional		$125.89	$199.53	$316.23