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 $1,000.00 / $1,412.54 / $2,454.71	Professional		$1,000.00	$1,412.54	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,073.80 / $4,897.79	Facility		$3,630.78	$4,073.80	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,137.96	Professional		$1,737.80	$2,041.74	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,041.74	Professional		$1,202.26	$1,698.24	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $3,467.37	Facility		$1,174.90	$2,089.30	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,187.76	Professional		$1,047.13	$1,778.28	$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 / $1,737.80 / $2,089.30	Professional		$1,479.11	$1,737.80	$2,089.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $2,089.30	Professional		$870.96	$870.96	$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 / $1,479.11 / $2,187.76	Professional		$1,096.48	$1,479.11	$2,187.76