Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $5,495.41	Facility		$1,621.81	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,819.70	Professional		$630.96	$1,023.29	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $3,981.07	Facility		$1,174.90	$2,511.89	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,862.09	Professional		$1,258.93	$1,513.56	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,548.82	Professional		$676.08	$1,096.48	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $2,089.30	Facility		$616.60	$1,148.15	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $1,995.26	Professional		$1,258.93	$1,659.59	$1,995.26
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 $2,754.23 / $3,715.35 / $4,786.30	Facility		$2,754.23	$3,715.35	$4,786.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,995.26	Professional		$1,122.02	$1,548.82	$1,995.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $3,311.31	Professional		$831.76	$1,096.48	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,467.37 / $7,762.47	Facility		$676.08	$3,467.37	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,513.56	Professional		$630.96	$1,047.13	$1,513.56