Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,041.74	Professional		$831.76	$1,318.26	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,162.28	Facility		$1,513.56	$2,041.74	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $2,398.83	Professional		$2,290.87	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,778.28 / $2,454.71	Facility		$602.56	$1,778.28	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,187.76	Professional		$1,659.59	$2,089.30	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,862.09	Professional		$30.20	$30.20	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,089.30	Facility		$2,041.74	$2,089.30	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,398.83	Professional		$1,548.82	$1,778.28	$2,398.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,511.89	Professional		$1,698.24	$2,187.76	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,230.27 / $1,412.54	Facility		$741.31	$1,230.27	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,445.44	Professional		$870.96	$933.25	$1,445.44