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 $1,122.02 / $1,584.89 / $3,019.95	Professional		$1,122.02	$1,584.89	$3,019.95
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 $2,041.74 / $2,398.83 / $2,511.89	Professional		$2,041.74	$2,398.83	$2,511.89
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 $1,258.93 / $1,737.80 / $2,187.76	Professional		$1,258.93	$1,737.80	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $3,801.89	Facility		$1,230.27	$2,041.74	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $2,884.03	Professional		$1,905.46	$2,187.76	$2,884.03
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 $1,737.80 / $2,454.71 / $3,019.95	Professional		$1,737.80	$2,454.71	$3,019.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $10,964.78	Professional		$1,047.13	$1,445.44	$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 $1,318.26 / $1,905.46 / $2,570.40	Professional		$1,318.26	$1,905.46	$2,570.40