Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,079.46 / $7,079.46	Facility		$4,265.80	$7,079.46	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,888.44	Professional		$4,265.80	$4,265.80	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $131.83 / $6,760.83	Facility		$50.12	$131.83	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,677.35	Professional		$4,073.80	$4,073.80	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $4,265.80	Facility		$3,981.07	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $4,265.80 / $5,495.41	Facility		$72.44	$4,265.80	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $4,466.84 / $5,370.32	Professional		$70.79	$4,466.84	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $2,951.21 / $3,467.37	Professional		$30.20	$2,951.21	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,754.40 / $9,549.93	Facility		$4,073.80	$5,754.40	$9,549.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $5,128.61	Professional		$4,265.80	$5,128.61	$5,128.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $4,265.80 / $4,365.16	Professional		$85.11	$4,265.80	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80