Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,495.41 / $10,964.78	Facility		$1,288.25	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,456.54 / $14,791.08	Facility		$2,691.53	$6,456.54	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $9,332.54	Professional		$6,918.31	$6,918.31	$9,332.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,949.84	Facility		$1,096.48	$1,096.48	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,698.24	Professional		$1,096.48	$1,096.48	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,882.50 / $18,197.01	Facility		$9,772.37	$12,882.50	$18,197.01
Select Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $9,332.54 / $14,791.08	Professional		$6,025.60	$9,332.54	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $22,387.21 / $27,542.29	Facility		$10,232.93	$22,387.21	$27,542.29