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 $549.54 / $660.69 / $1,513.56	Professional		$549.54	$660.69	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $6,918.31	Facility		$1,905.46	$2,238.72	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,202.26	Professional		$977.24	$1,148.15	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,258.93	Professional		$588.84	$870.96	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $1,778.28	Facility		$616.60	$912.01	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,258.93	Professional		$660.69	$1,071.52	$1,258.93
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 $891.25 / $1,174.90 / $1,288.25	Professional		$891.25	$1,174.90	$1,288.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,202.26	Professional		$537.03	$537.03	$1,202.26
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 $575.44 / $831.76 / $1,202.26	Professional		$575.44	$831.76	$1,202.26