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 $616.60 / $912.01 / $1,412.54	Professional		$616.60	$912.01	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,025.60 / $18,620.87	Facility		$2,290.87	$6,025.60	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,412.54	Professional		$1,148.15	$1,348.96	$1,412.54
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 $691.83 / $954.99 / $1,202.26	Professional		$691.83	$954.99	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,819.70	Facility		$691.83	$1,122.02	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,659.59	Professional		$1,096.48	$1,230.27	$1,659.59
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 $954.99 / $1,348.96 / $1,698.24	Professional		$954.99	$1,348.96	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $11,220.18	Professional		$602.56	$812.83	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $9,332.54 / $18,197.01	Facility		$1,513.56	$9,332.54	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,412.54	Professional		$660.69	$1,000.00	$1,412.54