Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,905.46	Professional		$851.14	$1,023.29	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $2,884.03	Facility		$1,659.59	$2,691.53	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,041.74	Professional		$1,905.46	$1,905.46	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,412.54	Facility		$1,122.02	$1,122.02	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,348.96	Professional		$954.99	$1,122.02	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,258.93 / $1,778.28	Facility		$165.96	$1,258.93	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $1,819.70	Professional		$1,584.89	$1,659.59	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,288.25	Professional		$1,258.93	$1,258.93	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $2,818.38	Facility		$1,659.59	$2,454.71	$2,818.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,819.70	Professional		$1,479.11	$1,737.80	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $524.81 / $1,288.25	Facility		$69.18	$524.81	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,348.96	Professional		$741.31	$851.14	$1,348.96