Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $5,495.41	Facility		$2,884.03	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,089.30	Professional		$870.96	$1,202.26	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $4,073.80	Facility		$2,290.87	$2,570.40	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,862.09	Professional		$1,513.56	$1,819.70	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,778.28	Professional		$1,096.48	$1,479.11	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $4,466.84	Facility		$1,071.52	$1,862.09	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $1,862.09	Professional		$933.25	$1,584.89	$1,862.09
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 $1,258.93 / $1,479.11 / $1,778.28	Professional		$1,258.93	$1,479.11	$1,778.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,778.28	Professional		$776.25	$776.25	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $12,302.69 / $12,302.69	Facility		$5,495.41	$12,302.69	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,905.46	Professional		$933.25	$1,288.25	$1,905.46