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 $1,122.02 / $1,584.89 / $2,754.23	Professional		$1,122.02	$1,584.89	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,677.35 / $5,754.40	Facility		$4,168.69	$4,677.35	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,398.83	Professional		$1,995.26	$2,344.23	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,344.23	Professional		$1,445.44	$1,905.46	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,398.83 / $3,890.45	Facility		$1,288.25	$2,398.83	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,398.83	Professional		$1,202.26	$2,041.74	$2,398.83
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 $1,621.81 / $1,949.84 / $2,290.87	Professional		$1,621.81	$1,949.84	$2,290.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,290.87	Professional		$1,000.00	$1,000.00	$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 $1,202.26 / $1,698.24 / $2,454.71	Professional		$1,202.26	$1,698.24	$2,454.71