Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,548.13	Facility		$2,454.71	$2,454.71	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,630.27	Professional		$724.44	$1,096.48	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,238.72 / $4,897.79	Facility		$457.09	$2,238.72	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,380.38	Professional		$1,174.90	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,818.38 / $5,248.07	Facility		$1,047.13	$2,818.38	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,238.72	Professional		$1,000.00	$1,288.25	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $2,041.74	Facility		$1,348.96	$1,380.38	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,698.24	Professional		$1,348.96	$1,412.54	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,174.90	Professional		$1,000.00	$1,000.00	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $4,897.79	Facility		$2,041.74	$2,630.27	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,412.54	Professional		$1,148.15	$1,148.15	$1,412.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,348.96	Professional		$562.34	$562.34	$1,348.96