Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $5,495.41	Facility		$1,621.81	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,818.38	Professional		$1,023.29	$1,479.11	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $6,025.60	Facility		$2,344.23	$3,715.35	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $2,344.23	Professional		$1,905.46	$2,187.76	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,041.74	Professional		$1,174.90	$1,621.81	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,467.37	Facility		$1,096.48	$1,862.09	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,630.27	Professional		$1,737.80	$1,995.26	$2,630.27
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 $3,467.37 / $4,897.79 / $6,309.57	Facility		$3,467.37	$4,897.79	$6,309.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,511.89	Professional		$1,621.81	$2,290.87	$2,511.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $5,011.87	Professional		$977.24	$1,258.93	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $9,332.54 / $18,197.01	Facility		$1,513.56	$9,332.54	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,398.83	Professional		$1,148.15	$1,659.59	$2,398.83