Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,495.41	Facility		$1,412.54	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,079.46	Professional		$4,466.84	$4,466.84	$7,079.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $338.84 / $630.96	Facility		$74.13	$338.84	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $416.87	Professional		$371.54	$371.54	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $7,079.46	Facility		$1,412.54	$4,466.84	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,079.46	Professional		$4,466.84	$4,466.84	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $776.25	Facility		$407.38	$549.54	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $588.84	Professional		$309.03	$436.52	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,317.64 / $9,332.54	Facility		$1,819.70	$8,317.64	$9,332.54