Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,318.26 / $5,495.41	Facility		$316.23	$1,318.26	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $3,890.45 / $8,128.31	Facility	50	$1,778.28	$3,890.45	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $1,318.26	Professional		$208.93	$426.58	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $758.58 / $2,754.23	Professional	50	$316.23	$758.58	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,995.26 / $5,011.87	Facility		$891.25	$1,995.26	$5,011.87
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $2,951.21 / $7,585.78	Facility	50	$1,258.93	$2,951.21	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $676.08 / $851.14	Professional		$331.13	$676.08	$851.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $501.19 / $1,174.90 / $1,288.25	Professional	50	$501.19	$1,174.90	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $707.95	Professional		$251.19	$407.38	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $537.03 / $1,380.38	Facility		$204.17	$537.03	$1,380.38
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $3,715.35 / $8,128.31	Facility	50	$1,698.24	$3,715.35	$8,128.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $954.99	Professional		$288.40	$467.74	$954.99
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $724.44 / $2,691.53	Professional	50	$316.23	$724.44	$2,691.53
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 $3,467.37 / $4,365.16 / $6,309.57	Facility		$3,467.37	$4,365.16	$6,309.57
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,248.07 / $7,244.36 / $9,332.54	Facility	50	$5,248.07	$7,244.36	$9,332.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $616.60 / $912.01	Professional		$309.03	$616.60	$912.01
Select Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $1,862.09	Professional		$302.00	$436.52	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,495.41 / $12,302.69	Facility		$1,348.96	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $776.25	Professional		$245.47	$446.68	$776.25