Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $245.47 / $5,495.41	Facility		$199.53	$245.47	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $199.53	Professional		$81.28	$120.23	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $173.78 / $173.78	Professional	50	$169.82	$173.78	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $173.78 / $1,202.26	Facility		$72.44	$173.78	$1,202.26
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $102.33 / $138.04 / $1,174.90	Facility	50	$102.33	$138.04	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $190.55	Professional		$131.83	$154.88	$190.55
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $239.88 / $275.42	Professional	50	$194.98	$239.88	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $158.49	Professional		$74.13	$104.71	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $147.91 / $245.47	Facility		$63.10	$147.91	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $190.55	Professional		$93.33	$138.04	$190.55
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $169.82 / $173.78	Professional	50	$169.82	$169.82	$173.78
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 $524.81 / $891.25 / $1,318.26	Facility		$524.81	$891.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	50	$389.05	$389.05	$389.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $199.53	Professional		$131.83	$158.49	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $776.25	Professional		$85.11	$131.83	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,819.70 / $9,332.54	Facility		$181.97	$1,819.70	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $190.55	Professional		$93.33	$131.83	$190.55