Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $3,090.30	Professional		$2,884.03	$3,090.30	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $6,025.60	Facility		$2,344.23	$3,235.94	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,715.35	Professional		$3,090.30	$3,090.30	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,090.30 / $4,466.84	Facility		$1,288.25	$3,090.30	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $3,090.30	Professional		$977.24	$1,148.15	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,073.80 / $6,918.31	Facility		$2,951.21	$4,073.80	$6,918.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $4,365.16	Professional		$2,691.53	$3,090.30	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,168.69	Professional		$3,019.95	$3,019.95	$4,168.69