Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,344.23	Professional		$1,258.93	$1,584.89	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,801.89	Facility		$1,949.84	$2,454.71	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $2,884.03	Professional		$2,754.23	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $1,819.70	Facility		$1,778.28	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,819.70	Professional		$1,318.26	$1,318.26	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,187.76 / $3,162.28	Facility		$758.58	$2,187.76	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Professional		$2,137.96	$2,511.89	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,238.72	Professional		$30.20	$30.20	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,511.89 / $2,511.89	Facility		$2,454.71	$2,511.89	$2,511.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,884.03	Professional		$1,862.09	$2,041.74	$2,884.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $2,884.03	Professional		$2,041.74	$2,630.27	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,737.80	Facility		$1,348.96	$1,548.82	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,778.28	Professional		$1,071.52	$1,174.90	$1,778.28