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 $346.74 / $588.84 / $1,202.26	Professional		$346.74	$588.84	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $4,365.16	Facility		$1,737.80	$2,884.03	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,148.15	Professional		$616.60	$794.33	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,000.00	Professional		$380.19	$588.84	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $1,412.54	Facility		$389.05	$691.83	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,288.25	Professional		$630.96	$891.25	$1,288.25
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 $524.81 / $776.25 / $1,230.27	Professional		$524.81	$776.25	$1,230.27
Select Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $3,162.28	Professional		$524.81	$630.96	$3,162.28
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 $371.54 / $630.96 / $1,047.13	Professional		$371.54	$630.96	$1,047.13