Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,659.59	Professional		$1,000.00	$1,230.27	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,818.38	Facility		$1,348.96	$1,819.70	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,137.96	Professional		$2,041.74	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,584.89	Facility		$1,288.25	$1,288.25	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,288.25	Professional		$933.25	$933.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,659.59 / $2,344.23	Facility		$602.56	$1,659.59	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $1,949.84	Professional		$1,288.25	$1,862.09	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,659.59	Professional		$30.20	$30.20	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $1,862.09	Facility		$1,819.70	$1,862.09	$1,862.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,137.96	Professional		$1,348.96	$1,659.59	$2,137.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,398.83	Professional		$1,513.56	$1,949.84	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,318.26	Facility		$933.25	$1,230.27	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,258.93	Professional		$870.96	$933.25	$1,258.93