Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,174.90	Professional		$660.69	$812.83	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,949.84	Facility		$954.99	$1,288.25	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,513.56	Professional		$1,412.54	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,122.02	Facility		$831.76	$831.76	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $831.76	Professional		$616.60	$616.60	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,174.90 / $1,513.56	Facility		$436.52	$1,174.90	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,380.38	Professional		$1,122.02	$1,288.25	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,148.15	Professional		$30.20	$30.20	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,318.26	Facility		$1,288.25	$1,318.26	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,513.56	Professional		$954.99	$954.99	$1,513.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,380.38	Professional		$1,071.52	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,122.02	Facility		$660.69	$870.96	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $676.08 / $891.25	Professional		$616.60	$676.08	$891.25