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 $1,318.26 / $1,548.82 / $3,630.78	Professional		$1,318.26	$1,548.82	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $6,606.93	Facility		$5,011.87	$5,495.41	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $2,754.23	Professional		$2,290.87	$2,630.27	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $2,951.21	Professional		$1,230.27	$2,089.30	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,073.80	Facility		$1,412.54	$2,089.30	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $2,884.03	Professional		$1,548.82	$2,454.71	$2,884.03
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 $2,089.30 / $2,754.23 / $3,019.95	Professional		$2,089.30	$2,754.23	$3,019.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $2,818.38	Professional		$1,230.27	$1,258.93	$2,818.38
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 $1,412.54 / $1,995.26 / $3,019.95	Professional		$1,412.54	$1,995.26	$3,019.95