Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	26	$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,621.81	Professional		$912.01	$954.99	$1,621.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	26	$1,380.38	$1,380.38	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,862.09	Professional		$1,412.54	$1,659.59	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,698.24	Professional		$1,096.48	$1,412.54	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $2,570.40	Professional		$1,513.56	$1,584.89	$2,570.40
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 26 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	26	$1,380.38	$1,380.38	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $1,862.09	Professional		$1,584.89	$1,819.70	$1,862.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,137.96	Professional		$851.14	$851.14	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,862.09	Professional		$1,000.00	$1,096.48	$1,862.09