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 $1,698.24 / $1,995.26 / $4,677.35	Professional		$1,698.24	$1,995.26	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,606.93 / $9,549.93	Facility		$6,025.60	$6,606.93	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,019.95	Professional		$2,454.71	$2,884.03	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,090.30	Professional		$2,137.96	$2,630.27	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $5,495.41	Facility		$1,905.46	$3,162.28	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,388.44	Professional		$2,344.23	$2,754.23	$3,388.44
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 Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $3,311.31	Professional		$2,884.03	$3,090.30	$3,311.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $3,090.30	Professional		$1,288.25	$1,288.25	$3,090.30
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 $1,698.24 / $2,290.87 / $3,467.37	Professional		$1,698.24	$2,290.87	$3,467.37