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 $1,023.29 / $1,230.27 / $2,951.21	Professional		$1,023.29	$1,230.27	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $5,128.61	Facility		$3,890.45	$4,265.80	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,290.87	Professional		$1,862.09	$2,187.76	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $2,344.23	Professional		$933.25	$1,659.59	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $3,235.94	Facility		$1,096.48	$1,698.24	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $2,290.87	Professional		$1,230.27	$2,041.74	$2,290.87
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 $1,698.24 / $2,137.96 / $2,398.83	Professional		$1,698.24	$2,137.96	$2,398.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $2,290.87	Professional		$1,000.00	$1,023.29	$2,290.87
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 $1,122.02 / $1,548.82 / $2,344.23	Professional		$1,122.02	$1,548.82	$2,344.23