Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,495.41 / $5,495.41	Facility		$3,981.07	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,290.87	Professional		$1,288.25	$1,862.09	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,096.48	Professional		$812.83	$933.25	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $5,495.41	Facility		$1,318.26	$1,905.46	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $3,981.07	Professional		$1,288.25	$1,862.09	$3,981.07
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 $1,698.24 / $1,949.84 / $2,187.76	Professional		$1,698.24	$1,949.84	$2,187.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $933.25	Professional		$851.14	$851.14	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $15,488.17 / $26,302.68	Facility		$3,715.35	$15,488.17	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,801.89	Professional		$1,905.46	$2,630.27	$3,801.89