Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,495.41	Facility		$1,412.54	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,737.80	Professional		$891.25	$1,230.27	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $13,489.63	Facility		$1,348.96	$3,548.13	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,737.80	Professional		$1,445.44	$1,698.24	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,698.24	Professional		$1,047.13	$1,380.38	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,737.80 / $4,466.84	Facility		$831.76	$1,737.80	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $1,737.80	Professional		$870.96	$1,479.11	$1,737.80
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 Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $16,218.10	Facility		$8,511.38	$11,748.98	$16,218.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,698.24	Professional		$1,174.90	$1,412.54	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,513.56 / $12,302.69	Professional		$741.31	$1,513.56	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $25,118.86 / $38,904.51	Facility		$5,495.41	$25,118.86	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,778.28	Professional		$891.25	$1,230.27	$1,778.28