Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $5,495.41	Facility		$1,621.81	$2,570.40	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,162.28 / $3,162.28 / $3,548.13	Facility	50	$3,162.28	$3,162.28	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,318.26	Professional		$512.86	$776.25	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $8,317.64	Facility		$1,698.24	$3,981.07	$8,317.64
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $5,623.41 / $12,589.25	Facility	50	$2,454.71	$5,623.41	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,479.11	Professional		$912.01	$1,202.26	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,258.93	Professional		$575.44	$851.14	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,071.52 / $2,137.96	Facility		$537.03	$1,071.52	$2,137.96
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,162.28 / $3,162.28 / $3,548.13	Facility	50	$3,162.28	$3,162.28	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,479.11	Professional		$602.56	$912.01	$1,479.11
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 $5,248.07 / $7,244.36 / $10,232.93	Facility		$5,248.07	$7,244.36	$10,232.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $11,481.54 / $15,135.61	Facility	50	$7,943.28	$11,481.54	$15,135.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,230.27	Professional		$676.08	$831.76	$1,230.27
Select Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $5,888.44	Professional		$691.83	$831.76	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $12,302.69 / $12,302.69	Facility		$5,495.41	$12,302.69	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,288.25	Professional		$524.81	$831.76	$1,288.25