Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,090.30 / $5,495.41	Facility		$1,412.54	$3,090.30	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,479.11	Professional		$575.44	$891.25	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $3,019.95	Facility		$1,047.13	$1,819.70	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,380.38	Professional		$954.99	$1,174.90	$1,380.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,380.38 / $1,737.80 / $1,995.26	Professional	50	$1,380.38	$1,737.80	$1,995.26
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $891.25 / $1,047.13 / $1,230.27	Professional	54	$891.25	$1,047.13	$1,230.27
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $100.00 / $117.49 / $138.04	Professional	55	$100.00	$117.49	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,202.26	Professional		$478.63	$831.76	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $2,137.96	Facility		$512.86	$912.01	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,412.54	Professional		$645.65	$1,047.13	$1,412.54
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 $1,819.70 / $2,290.87 / $3,162.28	Facility		$1,819.70	$2,290.87	$3,162.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,445.44	Professional		$812.83	$1,202.26	$1,445.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $977.24 / $2,454.71	Professional		$537.03	$977.24	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,467.37 / $7,762.47	Facility		$501.19	$3,467.37	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,258.93	Professional		$630.96	$870.96	$1,258.93