Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,412.54 / $5,495.41	Facility		$251.19	$1,412.54	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $1,202.26	Professional		$275.42	$489.78	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $1,659.59 / $1,659.59	Professional	50	$676.08	$1,659.59	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $1,513.56	Facility		$316.23	$741.31	$1,513.56
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $1,096.48 / $2,238.72	Facility	50	$549.54	$1,096.48	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $478.63	Professional		$346.74	$416.87	$478.63
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $616.60 / $724.44	Professional	50	$489.78	$616.60	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $630.96 / $891.25	Professional		$190.55	$630.96	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $616.60 / $1,202.26	Facility		$229.09	$616.60	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $645.65	Professional		$245.47	$407.38	$645.65
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $1,659.59 / $1,659.59	Professional	50	$676.08	$1,659.59	$1,659.59
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 $1,047.13 / $1,318.26 / $1,862.09	Facility		$1,047.13	$1,318.26	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $2,089.30 / $2,754.23	Facility	50	$1,584.89	$2,089.30	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $501.19	Professional		$288.40	$426.58	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $977.24	Professional		$194.98	$316.23	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,630.27 / $4,466.84	Facility		$346.74	$2,630.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $977.24	Professional		$446.68	$676.08	$977.24