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 / $1,548.82 / $2,187.76	Professional		$1,122.02	$1,548.82	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,265.80 / $5,128.61	Facility		$3,801.89	$4,265.80	$5,128.61
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 $1,202.26 / $2,187.76 / $3,162.28	Facility		$1,202.26	$2,187.76	$3,162.28
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 / $1,737.80 / $2,089.30	Professional		$1,479.11	$1,737.80	$2,089.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,137.96	Professional		$912.01	$912.01	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $25,118.86 / $38,904.51	Facility		$3,715.35	$25,118.86	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,238.72	Professional		$1,122.02	$1,548.82	$2,238.72