Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $7,413.10	Professional		$4,570.88	$7,413.10	$7,413.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $8,317.64 / $18,197.01	Facility		$457.09	$8,317.64	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,128.61 / $5,128.61	Professional		$5,011.87	$5,128.61	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,471.29 / $19,498.45	Facility		$3,890.45	$10,471.29	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $8,317.64	Professional		$3,715.35	$4,365.16	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,128.61 / $6,606.93	Facility		$5,011.87	$5,128.61	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $6,309.57	Professional		$5,011.87	$5,248.07	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Professional		$3,715.35	$3,715.35	$4,365.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,772.37 / $18,197.01	Facility		$7,585.78	$9,772.37	$18,197.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,248.07	Professional		$4,265.80	$4,265.80	$5,248.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $7,079.46	Professional		$5,011.87	$5,011.87	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $5,011.87	Professional		$2,089.30	$2,089.30	$5,011.87