Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $5,495.41	Facility		$4,466.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,398.83	Professional		$1,096.48	$1,445.44	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $4,677.35	Facility		$3,548.13	$3,890.45	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $1,949.84	Professional		$1,584.89	$1,862.09	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,862.09	Professional		$1,202.26	$1,548.82	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,388.44	Facility		$1,071.52	$2,089.30	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,041.74	Professional		$1,096.48	$1,819.70	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,089.30	Professional		$1,380.38	$1,995.26	$2,089.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,862.09	Professional		$870.96	$870.96	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $15,488.17 / $26,302.68	Facility		$3,715.35	$15,488.17	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,137.96	Professional		$977.24	$1,412.54	$2,137.96