Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $5,495.41	Facility		$1,621.81	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,258.93	Professional		$446.68	$691.83	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	50	$478.63	$478.63	$478.63
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 $758.58 / $912.01 / $1,148.15	Professional		$758.58	$912.01	$1,148.15
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,096.48 / $1,412.54 / $1,737.80	Professional	50	$1,096.48	$1,412.54	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,000.00	Professional		$363.08	$676.08	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $870.96 / $1,621.81	Facility		$389.05	$870.96	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,174.90	Professional		$512.86	$794.33	$1,174.90
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	50	$478.63	$478.63	$478.63
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 $758.58 / $977.24 / $1,230.27	Professional		$758.58	$977.24	$1,230.27
Select Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $2,089.30	Professional		$524.81	$891.25	$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 $501.19 / $691.83 / $1,047.13	Professional		$501.19	$691.83	$1,047.13