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 $794.33 / $912.01 / $1,380.38	Professional		$794.33	$912.01	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,801.89 / $9,332.54	Facility		$1,621.81	$3,801.89	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,698.24	Professional		$1,202.26	$1,412.54	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,584.89	Professional		$912.01	$1,230.27	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $1,949.84	Facility		$794.33	$1,318.26	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $4,466.84	Professional		$794.33	$1,174.90	$4,466.84
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 $6,456.54 / $8,128.31 / $11,220.18	Facility		$6,456.54	$8,128.31	$11,220.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,905.46	Professional		$1,380.38	$1,659.59	$1,905.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,754.40 / $9,332.54	Professional		$3,090.30	$5,754.40	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $16,982.44 / $18,197.01	Facility		$9,332.54	$16,982.44	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,659.59	Professional		$912.01	$1,202.26	$1,659.59