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 / $1,288.25 / $3,019.95	Professional		$1,096.48	$1,288.25	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,168.69 / $5,888.44	Facility		$3,715.35	$4,168.69	$5,888.44
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 $1,348.96 / $1,698.24 / $2,041.74	Professional		$1,348.96	$1,698.24	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $4,365.16	Facility		$1,258.93	$2,041.74	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,187.76	Professional		$1,548.82	$1,778.28	$2,187.76
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 $1,862.09 / $1,995.26 / $2,137.96	Professional		$1,862.09	$1,995.26	$2,137.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,905.46	Professional		$831.76	$831.76	$1,905.46
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 $1,096.48 / $1,445.44 / $2,187.76	Professional		$1,096.48	$1,445.44	$2,187.76