Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,412.54 / $2,398.83	Facility		$501.19	$1,412.54	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $676.08	Professional		$630.96	$676.08	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $1,548.82	Facility		$389.05	$562.34	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $2,398.83	Facility		$501.19	$812.83	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $676.08	Professional		$575.44	$660.69	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $645.65	Professional		$30.20	$30.20	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $933.25	Professional		$724.44	$758.58	$933.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,202.26	Professional		$758.58	$758.58	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $933.25	Professional		$660.69	$660.69	$933.25