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 $630.96 / $912.01 / $1,445.44	Professional		$630.96	$912.01	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,897.79 / $18,620.87	Facility		$1,479.11	$4,897.79	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,445.44	Professional		$1,174.90	$1,380.38	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,230.27	Professional		$707.95	$977.24	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,862.09	Facility		$691.83	$1,148.15	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,698.24	Professional		$1,122.02	$1,258.93	$1,698.24
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 $977.24 / $1,380.38 / $1,698.24	Professional		$977.24	$1,380.38	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $11,220.18	Professional		$616.60	$831.76	$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 $707.95 / $1,047.13 / $1,479.11	Professional		$707.95	$1,047.13	$1,479.11