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 $776.25 / $1,174.90 / $1,412.54	Professional		$776.25	$1,174.90	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $9,332.54	Facility		$1,258.93	$3,630.78	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $1,862.09	Professional		$1,412.54	$1,698.24	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,548.82	Professional		$891.25	$1,202.26	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,041.74	Facility		$776.25	$1,288.25	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,698.24	Professional		$1,258.93	$1,548.82	$1,698.24
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 $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 $1,412.54 / $1,737.80 / $1,905.46	Professional		$1,412.54	$1,737.80	$1,905.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $8,511.38	Professional		$776.25	$831.76	$8,511.38
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