Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $8,317.64	Facility		$5,754.40	$5,754.40	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $6,309.57	Professional		$1,737.80	$2,570.40	$6,309.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $11,481.54	Facility		$3,235.94	$6,025.60	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,786.30	Facility		$3,235.94	$3,235.94	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $3,801.89	Professional		$3,019.95	$3,388.44	$3,801.89
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 $4,786.30 / $6,025.60 / $11,481.54	Facility		$4,786.30	$6,025.60	$11,481.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,388.44	Professional		$2,691.53	$2,691.53	$3,388.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $3,235.94	Professional		$1,348.96	$1,348.96	$3,235.94