Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,715.35	Professional		$1,905.46	$2,570.40	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $6,309.57	Facility		$3,019.95	$4,073.80	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,786.30 / $4,786.30	Professional		$4,570.88	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,951.21	Facility		$2,511.89	$2,511.89	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,511.89	Professional		$1,819.70	$1,819.70	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,388.44 / $4,365.16	Facility		$1,148.15	$3,388.44	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $4,365.16	Professional		$3,090.30	$4,168.69	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $3,715.35	Professional		$30.20	$30.20	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,168.69 / $4,168.69	Facility		$4,073.80	$4,168.69	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,786.30	Professional		$3,019.95	$3,019.95	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $4,365.16	Professional		$3,388.44	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $2,754.23	Facility		$1,737.80	$2,290.87	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,454.71	Professional		$1,621.81	$1,778.28	$2,454.71