Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $5,495.41	Facility		$1,621.81	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $363.08	Professional		$151.36	$186.21	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $12,022.64 / $20,892.96	Facility		$5,370.32	$12,022.64	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $229.09	Professional		$104.71	$194.98	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $5,495.41	Facility		$151.36	$223.87	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $758.58	Professional		$151.36	$186.21	$758.58
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 $10,964.78 / $15,135.61 / $21,379.62	Facility		$10,964.78	$15,135.61	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $398.11	Professional		$229.09	$309.03	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $16,595.87	Professional		$229.09	$229.09	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $22,387.21 / $27,542.29	Facility		$10,232.93	$22,387.21	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $371.54	Professional		$186.21	$251.19	$371.54