Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,819.70	Professional		$954.99	$1,288.25	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $3,090.30	Facility		$1,659.59	$1,995.26	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,344.23 / $2,344.23	Professional		$2,238.72	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,318.26	Facility		$1,202.26	$1,202.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,202.26	Professional		$891.25	$891.25	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,041.74 / $2,238.72	Facility		$776.25	$2,041.74	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,137.96	Professional		$1,737.80	$2,041.74	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,819.70	Professional		$30.20	$30.20	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $2,041.74	Facility		$1,995.26	$2,041.74	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $2,344.23	Professional		$1,513.56	$1,548.82	$2,344.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,238.72	Professional		$1,659.59	$2,137.96	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,445.44	Facility		$1,047.13	$1,288.25	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,479.11	Professional		$891.25	$954.99	$1,479.11