Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $5,495.41	Facility		$1,513.56	$3,388.44	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $5,888.44 / $5,888.44	Facility	50	$3,630.78	$5,888.44	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,584.89	Professional		$562.34	$831.76	$1,584.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $977.24 / $1,445.44	Professional	50	$794.33	$977.24	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $6,025.60	Facility		$1,288.25	$2,691.53	$6,025.60
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $4,073.80 / $9,120.11	Facility	50	$1,949.84	$4,073.80	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,479.11	Professional		$977.24	$1,174.90	$1,479.11
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,479.11 / $1,737.80 / $2,187.76	Professional	50	$1,479.11	$1,737.80	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $870.96 / $1,288.25	Professional		$467.74	$870.96	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,148.15 / $2,290.87	Facility		$501.19	$1,148.15	$2,290.87
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $3,630.78 / $5,888.44	Facility	50	$3,630.78	$3,630.78	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,479.11	Professional		$645.65	$977.24	$1,479.11
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $831.76 / $1,071.52	Professional	50	$794.33	$831.76	$1,071.52
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 $3,981.07 / $5,248.07 / $7,413.10	Facility		$3,981.07	$5,248.07	$7,413.10
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $8,317.64 / $10,964.78	Facility	50	$6,025.60	$8,317.64	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,548.82	Professional		$977.24	$1,230.27	$1,548.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $2,089.30	Professional		$660.69	$1,071.52	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,495.41 / $12,302.69	Facility		$1,148.15	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,348.96	Professional		$645.65	$891.25	$1,348.96