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 $1,047.13 / $1,445.44 / $2,511.89	Professional		$1,047.13	$1,445.44	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,265.80 / $5,248.07	Facility		$3,801.89	$4,265.80	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,187.76	Professional		$1,819.70	$2,137.96	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,089.30	Professional		$1,318.26	$1,737.80	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,548.13	Facility		$1,230.27	$2,187.76	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,187.76	Professional		$1,096.48	$1,862.09	$2,187.76
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 $1,479.11 / $1,778.28 / $2,089.30	Professional		$1,479.11	$1,778.28	$2,089.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,089.30	Professional		$912.01	$912.01	$2,089.30
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 $1,096.48 / $1,584.89 / $2,238.72	Professional		$1,096.48	$1,584.89	$2,238.72