Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,398.83	Professional		$1,202.26	$1,659.59	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,981.07	Facility		$1,949.84	$2,630.27	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $3,090.30	Professional		$2,951.21	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,905.46	Facility		$1,513.56	$1,513.56	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,290.87 / $2,818.38	Facility		$741.31	$2,290.87	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $2,818.38	Professional		$2,290.87	$2,630.27	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,344.23	Professional		$30.20	$30.20	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $2,691.53	Facility		$2,630.27	$2,691.53	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,090.30	Professional		$1,949.84	$1,949.84	$3,090.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $2,818.38	Professional		$2,187.76	$2,818.38	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,621.81	Facility		$1,122.02	$1,479.11	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,584.89	Professional		$1,047.13	$1,148.15	$1,584.89