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 $478.63 / $724.44 / $1,318.26	Professional		$478.63	$724.44	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $4,168.69	Facility		$1,479.11	$2,691.53	$4,168.69
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 $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,096.48	Professional		$562.34	$831.76	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,584.89	Facility		$616.60	$1,000.00	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,548.82	Professional		$1,023.29	$1,148.15	$1,548.82
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 $2,884.03 / $3,890.45 / $5,011.87	Facility		$2,884.03	$3,890.45	$5,011.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,380.38	Professional		$831.76	$1,202.26	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $3,801.89	Professional		$575.44	$741.31	$3,801.89
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 $588.84 / $891.25 / $1,258.93	Professional		$588.84	$891.25	$1,258.93