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 $2,041.74 / $2,454.71 / $5,495.41	Professional		$2,041.74	$2,454.71	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,513.56	Professional		$1,288.25	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $3,715.35	Professional		$2,344.23	$2,884.03	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,495.41 / $7,943.28	Facility		$1,513.56	$5,495.41	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $5,495.41	Professional		$1,995.26	$2,187.76	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $1,122.02 / $1,318.26	Professional		$30.20	$1,122.02	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $3,890.45	Professional		$3,630.78	$3,801.89	$3,890.45
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,698.24	Professional		$1,513.56	$1,513.56	$1,698.24
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 $1,778.28 / $2,290.87 / $3,801.89	Professional		$1,778.28	$2,290.87	$3,801.89