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 $660.69 / $912.01 / $1,479.11	Professional		$660.69	$912.01	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,000.00 / $18,620.87	Facility		$4,570.88	$10,000.00	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,445.44	Professional		$1,174.90	$1,380.38	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,265.80	Facility		$4,168.69	$4,168.69	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,230.27	Professional		$724.44	$977.24	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,819.70	Facility		$707.95	$1,202.26	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,698.24	Professional		$1,122.02	$1,288.25	$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 $12,882.50 / $16,218.10 / $22,908.68	Facility		$12,882.50	$16,218.10	$22,908.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,737.80	Professional		$1,000.00	$1,380.38	$1,737.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $13,489.63	Professional		$616.60	$831.76	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $11,748.98 / $29,512.09	Facility		$2,570.40	$11,748.98	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,479.11	Professional		$707.95	$1,047.13	$1,479.11