Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,495.41	Facility		$1,412.54	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $281.84	Professional		$112.20	$181.97	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $177.83 / $194.98	Professional	50	$151.36	$177.83	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $891.25	Facility		$128.82	$331.13	$891.25
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $190.55 / $436.52 / $1,318.26	Facility	50	$190.55	$436.52	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $263.03	Professional		$186.21	$229.09	$263.03
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $338.84 / $398.11	Professional	50	$269.15	$338.84	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $223.87	Professional		$91.20	$162.18	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $177.83 / $616.60	Facility		$74.13	$177.83	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $269.15	Professional		$114.82	$199.53	$269.15
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $151.36 / $194.98	Professional	50	$151.36	$151.36	$194.98
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 / $724.44 / $912.01	Facility		$524.81	$724.44	$912.01
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $1,122.02 / $1,380.38	Facility	50	$794.33	$1,122.02	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $275.42	Professional		$154.88	$234.42	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $691.83	Professional		$104.71	$190.55	$691.83
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 $120.23 / $165.96 / $239.88	Professional		$120.23	$165.96	$239.88