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 $1,122.02 / $1,698.24 / $2,691.53	Professional		$1,122.02	$1,698.24	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,760.83 / $18,620.87	Facility		$3,311.31	$6,760.83	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,691.53	Professional		$2,187.76	$2,570.40	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,344.23	Professional		$1,348.96	$1,862.09	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,698.24 / $3,388.44	Facility		$977.24	$1,698.24	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,090.30	Professional		$1,698.24	$2,290.87	$3,090.30
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 $12,022.64 / $16,218.10 / $22,908.68	Facility		$12,022.64	$16,218.10	$22,908.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,162.28	Professional		$1,819.70	$2,570.40	$3,162.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $11,220.18	Professional		$1,122.02	$1,548.82	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $10,232.93 / $27,542.29	Facility		$2,089.30	$10,232.93	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $2,754.23	Professional		$1,202.26	$1,949.84	$2,754.23