Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,073.80 / $7,943.28	Facility		$741.31	$4,073.80	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $6,760.83 / $8,317.64	Facility	50	$5,128.61	$6,760.83	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,621.81	Professional		$389.05	$588.84	$1,621.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,047.13 / $1,659.59	Professional	50	$616.60	$1,047.13	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $5,011.87	Facility		$1,479.11	$2,630.27	$5,011.87
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $3,981.07 / $7,585.78	Facility	50	$2,238.72	$3,981.07	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $891.25	Professional		$724.44	$851.14	$891.25
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,096.48 / $1,288.25 / $1,348.96	Professional	50	$1,096.48	$1,288.25	$1,348.96
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 $478.63 / $602.56 / $758.58	Professional		$478.63	$602.56	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $933.25 / $4,570.88	Facility		$446.68	$933.25	$4,570.88
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $6,760.83 / $9,332.54	Facility	50	$5,128.61	$6,760.83	$9,332.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,071.52	Professional		$512.86	$812.83	$1,071.52
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,412.54 / $2,137.96	Professional	50	$616.60	$1,412.54	$2,137.96
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 $616.60 / $851.14 / $933.25	Professional		$616.60	$851.14	$933.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $1,862.09	Professional		$407.38	$776.25	$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 $426.58 / $630.96 / $870.96	Professional		$426.58	$630.96	$870.96