Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $5,495.41	Facility		$4,466.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $1,819.70	Professional		$1,047.13	$1,659.59	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,570.88 / $5,495.41	Facility		$4,168.69	$4,570.88	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Professional		$1,949.84	$2,290.87	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,290.87	Professional		$1,412.54	$1,905.46	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $5,495.41	Facility		$1,202.26	$1,949.84	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $2,454.71	Professional		$1,318.26	$2,041.74	$2,454.71
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 Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,290.87	Professional		$1,698.24	$1,995.26	$2,290.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,089.30	Professional		$1,071.52	$1,071.52	$2,089.30
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 $1,047.13 / $1,584.89 / $2,187.76	Professional		$1,047.13	$1,584.89	$2,187.76