Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,495.41	Facility		$1,412.54	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $912.01 / $1,096.48	Professional		$295.12	$912.01	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,412.54	Facility		$1,148.15	$1,258.93	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,148.15	Professional		$977.24	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,412.54	Facility		$588.84	$1,047.13	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,000.00 / $1,348.96	Professional		$295.12	$1,000.00	$1,348.96
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 Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $1,819.70	Professional		$707.95	$1,318.26	$1,819.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,819.70 / $9,332.54	Facility		$151.36	$1,819.70	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $912.01	Professional		$446.68	$630.96	$912.01