Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $5,495.41	Facility		$3,388.44	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,380.38	Professional		$602.56	$912.01	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,388.44 / $10,000.00	Facility		$1,288.25	$3,388.44	$10,000.00
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $4,677.35 / $15,135.61	Facility	50	$1,949.84	$4,677.35	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,348.96	Professional		$1,023.29	$1,230.27	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,122.02	Professional		$501.19	$794.33	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,148.15 / $4,466.84	Facility		$524.81	$1,148.15	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $1,202.26	Professional		$549.54	$977.24	$1,202.26
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 $6,918.31 / $8,709.64 / $12,302.69	Facility		$6,918.31	$8,709.64	$12,302.69
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,471.29 / $13,803.84 / $18,197.01	Facility	50	$10,471.29	$13,803.84	$18,197.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,290.87	Professional		$851.14	$1,230.27	$2,290.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,071.52 / $9,120.11	Professional		$524.81	$1,071.52	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $9,332.54 / $18,197.01	Facility		$1,412.54	$9,332.54	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,230.27	Professional		$630.96	$870.96	$1,230.27