Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $5,495.41	Facility		$3,388.44	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,174.90	Professional		$416.87	$660.69	$1,174.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $588.84 / $776.25	Professional	50	$77.62	$588.84	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,019.95 / $6,025.60	Facility		$1,288.25	$3,019.95	$6,025.60
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $4,265.80 / $9,120.11	Facility	50	$1,949.84	$4,265.80	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,071.52	Professional		$707.95	$851.14	$1,071.52
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,071.52 / $1,318.26 / $1,584.89	Professional	50	$1,071.52	$1,318.26	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $912.01	Professional		$338.84	$602.56	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $5,495.41	Facility		$912.01	$1,318.26	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,096.48	Professional		$478.63	$724.44	$1,096.48
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $588.84 / $776.25	Professional	50	$77.62	$588.84	$776.25
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 $707.95 / $891.25 / $1,148.15	Professional		$707.95	$891.25	$1,148.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $4,365.16	Professional		$478.63	$831.76	$4,365.16
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 $457.09 / $630.96 / $933.25	Professional		$457.09	$630.96	$933.25