Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,737.80	Professional		$933.25	$1,202.26	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,951.21	Facility		$1,412.54	$1,905.46	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,238.72	Professional		$2,137.96	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Facility		$1,318.26	$1,318.26	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,318.26	Professional		$954.99	$954.99	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,737.80 / $2,398.83	Facility		$645.65	$1,737.80	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,041.74	Professional		$1,659.59	$1,949.84	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,737.80	Professional		$30.20	$30.20	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,949.84 / $1,949.84	Facility		$1,905.46	$1,949.84	$1,949.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,238.72	Professional		$1,445.44	$1,698.24	$2,238.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,454.71	Professional		$1,584.89	$2,041.74	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,318.26	Facility		$1,000.00	$1,174.90	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,380.38	Professional		$933.25	$1,000.00	$1,380.38