Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,466.84 / $5,495.41	Facility		$4,365.16	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,380.38	Professional		$977.24	$1,122.02	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,128.61 / $23,442.29	Facility		$3,162.28	$5,128.61	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,311.31	Professional		$2,630.27	$3,090.30	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,737.80	Facility		$977.24	$1,230.27	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $18,620.87	Professional		$977.24	$1,230.27	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $18,620.87 / $24,547.09	Facility		$14,791.08	$18,620.87	$24,547.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,995.26	Professional		$1,318.26	$1,659.59	$1,995.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $10,000.00	Professional		$1,288.25	$1,513.56	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $11,748.98 / $29,512.09	Facility		$2,570.40	$11,748.98	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,238.72	Professional		$1,148.15	$1,584.89	$2,238.72