Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,623.41	Facility		$4,897.79	$4,897.79	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,370.32 / $6,165.95	Professional		$4,897.79	$5,370.32	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,090.30	Facility		$1,122.02	$1,584.89	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $5,888.44 / $7,943.28	Professional		$1,348.96	$5,888.44	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,897.79 / $4,897.79	Facility		$4,677.35	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,370.32 / $6,165.95	Facility		$4,897.79	$5,370.32	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,370.32 / $6,165.95	Professional		$4,897.79	$5,370.32	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,630.27	Facility		$1,174.90	$1,584.89	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $6,165.95	Professional		$5,888.44	$5,888.44	$6,165.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79