Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $5,495.41	Facility		$2,884.03	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,162.28	Professional		$1,174.90	$1,659.59	$3,162.28
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 $2,137.96 / $2,511.89 / $2,630.27	Professional		$2,137.96	$2,511.89	$2,630.27
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 $1,318.26 / $1,819.70 / $2,290.87	Professional		$1,318.26	$1,819.70	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $3,981.07	Facility		$1,258.93	$2,089.30	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,951.21	Professional		$1,949.84	$2,290.87	$2,951.21
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 $1,819.70 / $2,570.40 / $2,818.38	Professional		$1,819.70	$2,570.40	$2,818.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $10,964.78	Professional		$1,096.48	$1,513.56	$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 $1,380.38 / $1,995.26 / $2,691.53	Professional		$1,380.38	$1,995.26	$2,691.53