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 $1,071.52 / $1,258.93 / $2,884.03	Professional		$1,071.52	$1,258.93	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,981.07 / $5,754.40	Facility		$3,548.13	$3,981.07	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,862.09	Professional		$1,548.82	$1,819.70	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,949.84	Professional		$1,288.25	$1,621.81	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $4,168.69	Facility		$1,202.26	$1,995.26	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,089.30	Professional		$1,479.11	$1,698.24	$2,089.30
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 $1,819.70 / $1,949.84 / $2,041.74	Professional		$1,819.70	$1,949.84	$2,041.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,862.09	Professional		$812.83	$812.83	$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 $1,071.52 / $1,412.54 / $2,089.30	Professional		$1,071.52	$1,412.54	$2,089.30