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 $588.84 / $812.83 / $1,288.25	Professional		$588.84	$812.83	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,128.61 / $18,620.87	Facility		$2,137.96	$5,128.61	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,288.25	Professional		$1,047.13	$1,230.27	$1,288.25
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 $630.96 / $851.14 / $1,096.48	Professional		$630.96	$851.14	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $1,659.59	Facility		$616.60	$1,096.48	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,513.56	Professional		$1,000.00	$1,148.15	$1,513.56
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 $870.96 / $1,230.27 / $1,513.56	Professional		$870.96	$1,230.27	$1,513.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $11,220.18	Professional		$549.54	$741.31	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $9,332.54 / $18,197.01	Facility		$1,513.56	$9,332.54	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,288.25	Professional		$676.08	$933.25	$1,288.25