Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $3,981.07	Professional		$2,041.74	$2,884.03	$3,981.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $6,918.31	Facility		$3,388.44	$4,466.84	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,370.32 / $5,370.32	Professional		$5,011.87	$5,370.32	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,467.37	Facility		$3,019.95	$3,019.95	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,019.95	Professional		$2,187.76	$2,187.76	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,981.07 / $5,128.61	Facility		$1,348.96	$3,981.07	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,570.88 / $4,786.30	Professional		$3,981.07	$4,570.88	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $4,073.80	Professional		$30.20	$30.20	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,570.88 / $4,570.88	Facility		$4,466.84	$4,570.88	$4,570.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,370.32	Professional		$3,388.44	$3,388.44	$5,370.32
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $4,786.30	Professional		$3,801.89	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $3,162.28	Facility		$2,570.40	$2,754.23	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $3,162.28	Professional		$1,905.46	$2,089.30	$3,162.28