Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $269.15 / $4,466.84	Facility		$100.00	$269.15	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $181.97	Professional		$58.88	$107.15	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $218.78 / $234.42	Professional	50	$162.18	$218.78	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $204.17 / $389.05	Facility		$46.77	$204.17	$389.05
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $67.61 / $141.25 / $426.58	Facility	50	$67.61	$141.25	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $158.49	Professional		$87.10	$128.82	$158.49
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $218.78 / $239.88	Professional	50	$131.83	$218.78	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $141.25	Professional		$56.23	$97.72	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $323.59	Facility		$67.61	$141.25	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $165.96	Professional		$60.26	$93.33	$165.96
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $218.78 / $234.42	Professional	50	$162.18	$218.78	$234.42
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 $229.09 / $309.03 / $407.38	Facility		$229.09	$309.03	$407.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	50	$512.86	$512.86	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $131.83	Professional		$64.57	$79.43	$131.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $239.88	Professional		$72.44	$89.13	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,317.64 / $9,332.54	Facility		$1,819.70	$8,317.64	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $181.97	Professional		$52.48	$100.00	$181.97