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 $891.25 / $1,380.38 / $1,949.84	Professional		$891.25	$1,380.38	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,019.95 / $6,025.60	Facility		$1,288.25	$3,019.95	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,778.28	Professional		$1,380.38	$1,698.24	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $1,513.56	Professional		$616.60	$1,096.48	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $4,466.84	Facility		$741.31	$1,412.54	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $1,737.80	Professional		$794.33	$1,380.38	$1,737.80
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 $3,981.07 / $5,248.07 / $7,413.10	Facility		$3,981.07	$5,248.07	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $1,905.46	Professional		$1,230.27	$1,737.80	$1,905.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $5,623.41	Professional		$741.31	$1,071.52	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,495.41 / $12,302.69	Facility		$1,148.15	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,584.89	Professional		$758.58	$1,096.48	$1,584.89