Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $5,495.41	Facility		$2,884.03	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,819.70	Professional		$691.83	$1,023.29	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $4,786.30	Facility		$1,202.26	$2,454.71	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,778.28	Professional		$1,258.93	$1,548.82	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,513.56	Professional		$794.33	$1,148.15	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,621.81	Facility		$724.44	$1,148.15	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,862.09	Professional		$1,047.13	$1,380.38	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $6,025.60	Facility		$3,311.31	$4,073.80	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,949.84	Professional		$1,230.27	$1,513.56	$1,949.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $3,715.35	Professional		$831.76	$1,230.27	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,165.95 / $7,762.47	Facility		$3,467.37	$6,165.95	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,584.89	Professional		$831.76	$1,174.90	$1,584.89