Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,238.72	Professional		$1,202.26	$1,548.82	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,801.89	Facility		$1,819.70	$2,454.71	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $2,884.03	Professional		$2,754.23	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,949.84	Facility		$1,548.82	$1,548.82	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,238.72 / $2,884.03	Facility		$758.58	$2,238.72	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Professional		$2,137.96	$2,511.89	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,238.72	Professional		$30.20	$30.20	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,511.89 / $2,511.89	Facility		$2,454.71	$2,511.89	$2,511.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $2,884.03	Professional		$1,819.70	$1,905.46	$2,884.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $2,754.23	Professional		$2,041.74	$2,630.27	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,659.59	Facility		$1,174.90	$1,548.82	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,659.59	Professional		$1,096.48	$1,174.90	$1,659.59