Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $5,495.41	Facility		$2,884.03	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $407.38	Professional		$125.89	$213.80	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $630.96	Facility		$223.87	$407.38	$630.96
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $323.59 / $602.56 / $954.99	Facility	50	$323.59	$602.56	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $371.54	Professional		$223.87	$302.00	$371.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $512.86 / $562.34	Professional	50	$346.74	$512.86	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $331.13	Professional		$141.25	$223.87	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $645.65	Facility		$147.91	$263.03	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $380.19	Professional		$144.54	$218.78	$380.19
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 $436.52 / $588.84 / $776.25	Facility		$436.52	$588.84	$776.25
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $891.25 / $1,148.15	Facility	50	$660.69	$891.25	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $316.23	Professional		$162.18	$199.53	$316.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $575.44	Professional		$177.83	$199.53	$575.44
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 $128.82 / $208.93 / $338.84	Professional		$128.82	$208.93	$338.84