Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $11,220.18	Facility		$4,365.16	$5,495.41	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,772.37 / $15,488.17	Facility		$5,128.61	$9,772.37	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $13,182.57	Facility		$4,365.16	$5,495.41	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $11,220.18	Professional		$4,466.84	$8,511.38	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $16,218.10	Facility		$6,760.83	$11,220.18	$16,218.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $11,748.98 / $12,882.50	Professional		$8,128.31	$11,748.98	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $12,302.69 / $12,302.69	Facility		$5,495.41	$12,302.69	$12,302.69