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 / $7,762.47	Facility		$2,884.03	$4,466.84	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $3,548.13	Professional		$676.08	$1,096.48	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $7,413.10	Facility		$1,584.89	$3,388.44	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,445.44	Professional		$1,202.26	$1,380.38	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,288.25	Professional		$741.31	$1,023.29	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $3,235.94	Facility		$691.83	$1,174.90	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,737.80	Professional		$977.24	$1,288.25	$1,737.80
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 $1,023.29 / $1,412.54 / $1,584.89	Professional		$1,023.29	$1,412.54	$1,584.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $6,025.60	Professional		$630.96	$851.14	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,495.41 / $12,302.69	Facility		$1,348.96	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,513.56	Professional		$794.33	$1,096.48	$1,513.56