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 $489.78 / $676.08 / $1,071.52	Professional		$489.78	$676.08	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,623.41 / $8,511.38	Facility		$2,630.27	$5,623.41	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,047.13	Professional		$870.96	$1,023.29	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $933.25	Professional		$537.03	$724.44	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,071.52 / $1,621.81	Facility		$512.86	$1,071.52	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,348.96	Professional		$812.83	$933.25	$1,348.96
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 $5,888.44 / $7,762.47 / $10,232.93	Facility		$5,888.44	$7,762.47	$10,232.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,258.93	Professional		$724.44	$1,023.29	$1,258.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $7,762.47	Professional		$457.09	$602.56	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $11,748.98 / $29,512.09	Facility		$2,570.40	$11,748.98	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,148.15	Professional		$575.44	$794.33	$1,148.15