Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,511.89 / $5,495.41	Facility		$269.15	$2,511.89	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $5,248.07 / $6,918.31	Facility	50	$2,691.53	$5,248.07	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $338.84	Professional		$147.91	$229.09	$338.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $257.04 / $501.19	Professional	50	$120.23	$257.04	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $3,981.07	Facility		$1,174.90	$1,905.46	$3,981.07
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $2,884.03 / $5,888.44	Facility	50	$1,737.80	$2,884.03	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $323.59	Professional		$263.03	$309.03	$323.59
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $467.74 / $478.63	Professional	50	$398.11	$467.74	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $295.12	Professional		$186.21	$245.47	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $4,466.84	Facility		$199.53	$331.13	$4,466.84
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $5,248.07 / $9,772.37	Facility	50	$2,398.83	$5,248.07	$9,772.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $316.23	Professional		$162.18	$251.19	$316.23
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $257.04 / $501.19	Professional	50	$120.23	$257.04	$501.19
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 $2,754.23 / $3,467.37 / $4,786.30	Facility		$2,754.23	$3,467.37	$4,786.30
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $5,623.41 / $7,244.36	Facility	50	$4,168.69	$5,623.41	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $269.15	Professional		$218.78	$257.04	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $2,041.74	Professional		$134.90	$245.47	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,165.95 / $7,762.47	Facility		$3,467.37	$6,165.95	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $331.13	Professional		$162.18	$223.87	$331.13