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 $977.24 / $1,412.54 / $2,691.53	Professional		$977.24	$1,412.54	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $17,378.01	Facility		$2,511.89	$6,456.54	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,238.72	Professional		$1,819.70	$2,137.96	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,949.84	Professional		$1,122.02	$1,548.82	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $3,311.31	Facility		$1,096.48	$1,778.28	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,570.40	Professional		$1,659.59	$1,949.84	$2,570.40
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 $10,964.78 / $15,135.61 / $21,379.62	Facility		$10,964.78	$15,135.61	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $2,691.53	Professional		$1,548.82	$2,187.76	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $10,964.78	Professional		$933.25	$1,288.25	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $10,232.93 / $27,542.29	Facility		$2,089.30	$10,232.93	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,290.87	Professional		$1,148.15	$1,659.59	$2,290.87