Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,412.54	Professional		$602.56	$1,047.13	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $6,309.57	Facility		$1,737.80	$3,235.94	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,778.28 / $1,778.28	Professional		$1,737.80	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $6,760.83	Facility		$1,096.48	$2,570.40	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,290.87 / $3,388.44	Facility		$794.33	$2,290.87	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,089.30	Professional		$1,096.48	$1,819.70	$2,089.30
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 $2,630.27 / $3,235.94 / $6,309.57	Facility		$2,630.27	$3,235.94	$6,309.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,819.70	Professional		$1,479.11	$1,479.11	$1,819.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,348.96	Professional		$467.74	$467.74	$1,348.96