Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,905.46	Facility		$1,318.26	$1,318.26	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,412.54	Professional		$398.11	$588.84	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,348.96 / $2,630.27	Facility		$724.44	$1,348.96	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $741.31	Professional		$724.44	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,513.56 / $2,818.38	Facility		$562.34	$1,513.56	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,412.54	Facility		$724.44	$724.44	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Professional		$707.95	$758.58	$870.96
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 $1,096.48 / $1,348.96 / $2,630.27	Facility		$1,096.48	$1,348.96	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $758.58	Professional		$616.60	$616.60	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $724.44	Professional		$302.00	$302.00	$724.44