Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,495.41 / $6,918.31	Facility		$4,786.30	$5,495.41	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,819.70	Professional		$758.58	$1,047.13	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,715.35	Facility		$2,754.23	$3,019.95	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,621.81	Professional		$1,318.26	$1,548.82	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,548.82	Professional		$912.01	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,621.81 / $4,786.30	Facility		$891.25	$1,621.81	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $1,621.81	Professional		$812.83	$1,380.38	$1,621.81
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 $1,096.48 / $1,288.25 / $1,548.82	Professional		$1,096.48	$1,288.25	$1,548.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,548.82	Professional		$676.08	$676.08	$1,548.82
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 $794.33 / $1,096.48 / $1,621.81	Professional		$794.33	$1,096.48	$1,621.81