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 $707.95 / $1,096.48 / $1,905.46	Professional		$707.95	$1,096.48	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $23,442.29	Facility		$2,818.38	$4,168.69	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,862.09	Professional		$1,513.56	$1,778.28	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,621.81	Professional		$891.25	$1,230.27	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,238.72	Facility		$891.25	$1,348.96	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $2,137.96	Professional		$1,412.54	$1,584.89	$2,137.96
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 $14,791.08 / $18,620.87 / $24,547.09	Facility		$14,791.08	$18,620.87	$24,547.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $1,995.26	Professional		$1,288.25	$1,819.70	$1,995.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $1,949.84	Professional		$776.25	$831.76	$1,949.84
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 $812.83 / $1,258.93 / $1,819.70	Professional		$812.83	$1,258.93	$1,819.70