Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,630.78	Professional		$1,905.46	$2,630.27	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $6,309.57	Facility		$3,090.30	$4,073.80	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,786.30 / $4,786.30	Professional		$4,570.88	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,754.23	Facility		$2,630.27	$2,630.27	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,630.27	Professional		$1,905.46	$1,905.46	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,548.13 / $4,365.16	Facility		$1,071.52	$3,548.13	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $4,365.16	Professional		$3,548.13	$4,168.69	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $3,715.35	Professional		$30.20	$30.20	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,168.69 / $4,168.69	Facility		$4,073.80	$4,168.69	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,786.30	Professional		$3,090.30	$3,090.30	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $4,365.16	Professional		$3,388.44	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,511.89	Facility		$1,862.09	$2,187.76	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,570.40	Professional		$1,513.56	$1,659.59	$2,570.40