Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $8,128.31	Facility		$5,623.41	$5,623.41	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,511.89 / $6,025.60	Professional		$323.59	$2,511.89	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,495.41 / $11,220.18	Facility		$3,090.30	$5,495.41	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,162.28 / $3,162.28	Professional		$3,090.30	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $12,022.64	Facility		$2,454.71	$6,456.54	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $5,128.61	Professional		$2,344.23	$2,754.23	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,677.35	Facility		$3,090.30	$3,090.30	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $3,890.45	Professional		$3,090.30	$3,235.94	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,691.53	Professional		$2,290.87	$2,290.87	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,165.95 / $11,220.18	Facility		$4,677.35	$6,165.95	$11,220.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,235.94	Professional		$2,630.27	$2,630.27	$3,235.94
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,365.16	Professional		$3,090.30	$3,090.30	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,090.30	Professional		$1,318.26	$1,318.26	$3,090.30