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 $1,513.56 / $1,778.28 / $4,073.80	Professional		$1,513.56	$1,778.28	$4,073.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,623.41 / $8,128.31	Facility		$5,128.61	$5,623.41	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,630.27	Professional		$2,187.76	$2,570.40	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,754.23	Professional		$1,819.70	$2,290.87	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $5,248.07	Facility		$1,698.24	$2,754.23	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,019.95	Professional		$2,089.30	$2,398.83	$3,019.95
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 $2,570.40 / $2,754.23 / $2,884.03	Professional		$2,570.40	$2,754.23	$2,884.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,630.27	Professional		$1,148.15	$1,148.15	$2,630.27
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 $1,513.56 / $1,995.26 / $3,019.95	Professional		$1,513.56	$1,995.26	$3,019.95