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 $954.99 / $1,258.93 / $1,905.46	Professional		$954.99	$1,258.93	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,897.79	Facility		$3,715.35	$4,073.80	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,137.96	Professional		$1,778.28	$2,089.30	$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 $1,071.52 / $1,905.46 / $2,691.53	Facility		$1,071.52	$1,905.46	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,137.96	Professional		$1,122.02	$1,737.80	$2,137.96
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 $933.25 / $933.25 / $2,089.30	Professional		$933.25	$933.25	$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 $954.99 / $1,445.44 / $2,137.96	Professional		$954.99	$1,445.44	$2,137.96