Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $12,589.25 / $21,877.62	Facility		$1,862.09	$12,589.25	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,621.81	Professional		$707.95	$977.24	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $9,772.37 / $18,620.87	Facility		$3,388.44	$9,772.37	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,548.82	Professional		$1,258.93	$1,513.56	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,348.96	Professional		$776.25	$1,047.13	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,348.96 / $5,495.41	Facility		$776.25	$1,348.96	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,778.28	Professional		$1,174.90	$1,318.26	$1,778.28
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 $1,047.13 / $1,479.11 / $1,862.09	Professional		$1,047.13	$1,479.11	$1,862.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $15,135.61	Professional		$645.65	$891.25	$15,135.61
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 $776.25 / $1,122.02 / $1,584.89	Professional		$776.25	$1,122.02	$1,584.89