Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $602.56 / $5,495.41	Facility		$223.87	$602.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $426.58	Professional		$134.90	$239.88	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $588.84 / $691.83	Professional	50	$288.40	$588.84	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $891.25 / $1,412.54	Facility		$371.54	$891.25	$1,412.54
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $416.87 / $1,318.26 / $2,137.96	Facility	50	$416.87	$1,318.26	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $398.11	Professional		$245.47	$323.59	$398.11
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $549.54 / $602.56	Professional	50	$380.19	$549.54	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $346.74	Professional		$154.88	$239.88	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $288.40 / $645.65	Facility		$165.96	$288.40	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $407.38	Professional		$141.25	$263.03	$407.38
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $588.84 / $691.83	Professional	50	$288.40	$588.84	$691.83
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 $933.25 / $1,230.27 / $1,737.80	Facility		$933.25	$1,230.27	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $1,862.09 / $2,570.40	Facility	50	$1,412.54	$1,862.09	$2,570.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $331.13	Professional		$177.83	$218.78	$331.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $1,288.25	Professional		$186.21	$218.78	$1,288.25
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 $141.25 / $223.87 / $363.08	Professional		$141.25	$223.87	$363.08