Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $912.01	Professional		$416.87	$660.69	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,584.89	Facility		$758.58	$1,023.29	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,202.26	Professional		$1,148.15	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $851.14 / $1,258.93	Facility		$302.00	$851.14	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,096.48	Professional		$812.83	$1,047.13	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $933.25	Professional		$30.20	$30.20	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,047.13	Facility		$1,023.29	$1,047.13	$1,047.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,202.26	Professional		$776.25	$776.25	$1,202.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,096.48	Professional		$851.14	$1,096.48	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $616.60 / $707.95	Facility		$389.05	$616.60	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $724.44	Professional		$426.58	$467.74	$724.44