Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,548.82	Professional		$645.65	$912.01	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,570.40	Facility		$1,258.93	$1,659.59	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $1,949.84	Professional		$1,862.09	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,096.48	Facility		$831.76	$831.76	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Professional		$602.56	$602.56	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,318.26 / $1,778.28	Facility		$426.58	$1,318.26	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $1,778.28	Professional		$1,174.90	$1,698.24	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $1,258.93 / $1,548.82	Professional		$30.20	$1,258.93	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,698.24	Facility		$1,659.59	$1,698.24	$1,698.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,949.84	Professional		$1,258.93	$1,258.93	$1,949.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,778.28	Professional		$1,318.26	$1,778.28	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,348.96	Facility		$645.65	$851.14	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $912.01	Professional		$602.56	$660.69	$912.01