Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,862.09	Professional		$933.25	$1,288.25	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,090.30	Facility		$1,513.56	$2,041.74	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $2,398.83	Professional		$2,290.87	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Facility		$1,412.54	$1,412.54	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,412.54	Professional		$1,023.29	$1,023.29	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,862.09 / $4,677.35	Facility		$616.60	$1,862.09	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,187.76	Professional		$1,778.28	$2,089.30	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,862.09	Professional		$30.20	$30.20	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,089.30	Facility		$2,041.74	$2,089.30	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,398.83	Professional		$1,513.56	$1,778.28	$2,398.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,511.89	Professional		$1,698.24	$2,187.76	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,258.93	Facility		$954.99	$1,148.15	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,348.96	Professional		$891.25	$977.24	$1,348.96