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 $562.34 / $812.83 / $1,348.96	Professional		$562.34	$812.83	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $4,168.69	Facility		$1,148.15	$2,398.83	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,288.25	Professional		$1,071.52	$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 $588.84 / $812.83 / $1,122.02	Professional		$588.84	$812.83	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,621.81	Facility		$630.96	$1,047.13	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,584.89	Professional		$1,071.52	$1,230.27	$1,584.89
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 / $3,630.78 / $5,011.87	Facility		$2,884.03	$3,630.78	$5,011.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,380.38	Professional		$831.76	$1,230.27	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $2,951.21	Professional		$602.56	$741.31	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,467.37 / $7,762.47	Facility		$676.08	$3,467.37	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,230.27	Professional		$549.54	$831.76	$1,230.27