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 $676.08 / $933.25 / $1,513.56	Professional		$676.08	$933.25	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $18,620.87	Facility		$1,778.28	$4,365.16	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,479.11	Professional		$1,202.26	$1,412.54	$1,479.11
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 $741.31 / $1,000.00 / $1,288.25	Professional		$741.31	$1,000.00	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $1,905.46	Facility		$724.44	$1,230.27	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,737.80	Professional		$1,148.15	$1,288.25	$1,737.80
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 $1,023.29 / $1,412.54 / $1,778.28	Professional		$1,023.29	$1,412.54	$1,778.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $11,220.18	Professional		$630.96	$851.14	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,495.41 / $12,302.69	Facility		$1,348.96	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,513.56	Professional		$724.44	$1,071.52	$1,513.56