Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,258.93	Professional		$575.44	$870.96	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,137.96	Facility		$1,047.13	$1,380.38	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,621.81	Professional		$1,548.82	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $912.01	Facility		$831.76	$831.76	$912.01
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 / $1,412.54 / $1,513.56	Facility		$426.58	$1,412.54	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,479.11	Professional		$1,202.26	$1,412.54	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,258.93	Professional		$30.20	$30.20	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,412.54	Facility		$1,380.38	$1,412.54	$1,412.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,621.81	Professional		$1,047.13	$1,071.52	$1,621.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,548.82	Professional		$1,148.15	$1,479.11	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $870.96	Facility		$660.69	$776.25	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $912.01	Professional		$616.60	$660.69	$912.01