Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,659.59	Professional		$831.76	$1,148.15	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,818.38	Facility		$1,348.96	$1,819.70	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,137.96	Professional		$2,041.74	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,318.26	Facility		$1,096.48	$1,096.48	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Professional		$812.83	$812.83	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,659.59 / $2,187.76	Facility		$562.34	$1,659.59	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $1,949.84	Professional		$1,584.89	$1,862.09	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,659.59	Professional		$30.20	$30.20	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $1,862.09	Facility		$1,819.70	$1,862.09	$1,862.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,137.96	Professional		$1,348.96	$1,584.89	$2,137.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,290.87	Professional		$1,513.56	$1,949.84	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,148.15	Facility		$870.96	$1,023.29	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $1,230.27	Professional		$812.83	$870.96	$1,230.27