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 $794.33 / $1,122.02 / $1,778.28	Professional		$794.33	$1,122.02	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,232.93 / $37,153.52	Facility		$3,630.78	$10,232.93	$37,153.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,737.80	Professional		$1,445.44	$1,698.24	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,513.56	Professional		$870.96	$1,202.26	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,348.96 / $2,570.40	Facility		$831.76	$1,348.96	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,041.74	Professional		$1,348.96	$1,513.56	$2,041.74
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 $23,988.33 / $29,512.09 / $45,708.82	Facility		$23,988.33	$29,512.09	$45,708.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,089.30	Professional		$1,202.26	$1,698.24	$2,089.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $20,417.38	Professional		$741.31	$1,000.00	$20,417.38
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 $870.96 / $1,288.25 / $1,778.28	Professional		$870.96	$1,288.25	$1,778.28