Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,318.26	Professional		$562.34	$831.76	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,187.76	Facility		$1,071.52	$1,445.44	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $1,698.24	Professional		$1,621.81	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $954.99	Facility		$707.95	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Professional		$524.81	$524.81	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,148.15 / $1,548.82	Facility		$371.54	$1,148.15	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $1,548.82	Professional		$1,023.29	$1,479.11	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $1,122.02 / $1,318.26	Professional		$30.20	$1,122.02	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $1,479.11	Facility		$1,445.44	$1,479.11	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,698.24	Professional		$1,071.52	$1,071.52	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,548.82	Professional		$1,148.15	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $912.01	Facility		$562.34	$741.31	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $794.33	Professional		$524.81	$575.44	$794.33