Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,949.84	Facility		$1,348.96	$1,348.96	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,445.44	Professional		$407.38	$602.56	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,412.54 / $2,691.53	Facility		$758.58	$1,412.54	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $2,951.21	Facility		$588.84	$1,548.82	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,479.11	Facility		$758.58	$758.58	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $933.25	Professional		$724.44	$794.33	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,691.53	Facility		$1,122.02	$1,445.44	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $794.33	Professional		$630.96	$630.96	$794.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Professional		$316.23	$316.23	$758.58