Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $5,495.41	Facility		$2,884.03	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,238.72	Professional		$831.76	$1,380.38	$2,238.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $6,918.31	Professional	50	$1,230.27	$1,230.27	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,388.44 / $10,000.00	Facility		$1,288.25	$3,388.44	$10,000.00
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $4,677.35 / $15,135.61	Facility	50	$1,949.84	$4,677.35	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,041.74	Professional		$1,621.81	$1,949.84	$2,041.74
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,454.71 / $2,818.38 / $3,090.30	Professional	50	$2,454.71	$2,818.38	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,737.80	Professional		$724.44	$1,288.25	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,659.59 / $4,466.84	Facility		$851.14	$1,659.59	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $1,995.26	Professional		$912.01	$1,584.89	$1,995.26
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $6,918.31	Professional	50	$1,230.27	$1,230.27	$6,918.31
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 $6,918.31 / $8,709.64 / $12,302.69	Facility		$6,918.31	$8,709.64	$12,302.69
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,471.29 / $13,803.84 / $18,197.01	Facility	50	$10,471.29	$13,803.84	$18,197.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,290.87	Professional		$1,412.54	$1,995.26	$2,290.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,621.81 / $9,120.11	Professional		$851.14	$1,621.81	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $9,332.54 / $18,197.01	Facility		$1,412.54	$9,332.54	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,862.09	Professional		$912.01	$1,288.25	$1,862.09