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 $741.31 / $1,122.02 / $1,318.26	Professional		$741.31	$1,122.02	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $7,413.10	Facility		$1,584.89	$3,801.89	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $1,737.80	Professional		$1,318.26	$1,621.81	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,513.56	Professional		$870.96	$1,174.90	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,884.03	Facility		$758.58	$1,230.27	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,621.81	Professional		$1,202.26	$1,445.44	$1,621.81
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 $4,677.35 / $6,456.54 / $8,912.51	Facility		$4,677.35	$6,456.54	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,819.70	Professional		$1,348.96	$1,621.81	$1,819.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $6,760.83	Professional		$741.31	$794.33	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $12,302.69 / $12,302.69	Facility		$5,495.41	$12,302.69	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,584.89	Professional		$891.25	$1,148.15	$1,584.89