Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $8,511.38	Facility		$5,888.44	$5,888.44	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $6,309.57	Professional		$1,548.82	$2,630.27	$6,309.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,495.41 / $11,748.98	Facility		$3,235.94	$5,495.41	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,311.31 / $3,311.31	Professional		$3,235.94	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,760.83 / $12,589.25	Facility		$2,511.89	$6,760.83	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $5,370.32	Professional		$2,398.83	$2,818.38	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,897.79	Facility		$3,235.94	$3,235.94	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,388.44 / $4,073.80	Professional		$3,235.94	$3,388.44	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,818.38	Professional		$2,398.83	$2,398.83	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,456.54 / $11,748.98	Facility		$4,897.79	$6,456.54	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,388.44	Professional		$2,754.23	$2,754.23	$3,388.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,570.88	Professional		$3,235.94	$3,235.94	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $3,090.30	Professional		$1,202.26	$1,348.96	$3,090.30