Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,348.96	Professional		$616.60	$933.25	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,290.87	Facility		$1,202.26	$1,479.11	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $1,737.80	Professional		$1,659.59	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,122.02	Facility		$977.24	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,513.56 / $1,621.81	Facility		$457.09	$1,513.56	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,584.89	Professional		$1,288.25	$1,513.56	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,348.96	Professional		$30.20	$30.20	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $1,513.56	Facility		$1,479.11	$1,513.56	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,737.80	Professional		$1,096.48	$1,148.15	$1,737.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,621.81	Professional		$1,230.27	$1,584.89	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $933.25	Facility		$707.95	$831.76	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $1,047.13	Professional		$660.69	$707.95	$1,047.13