Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,311.31	Professional		$1,621.81	$2,398.83	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $5,754.40	Facility		$2,884.03	$3,801.89	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $4,466.84	Professional		$4,265.80	$4,466.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,691.53	Facility		$2,570.40	$2,570.40	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,570.40	Professional		$1,862.09	$1,862.09	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,235.94 / $4,073.80	Facility		$1,047.13	$3,235.94	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $4,073.80	Professional		$3,311.31	$3,801.89	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $3,388.44	Professional		$30.20	$30.20	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $3,890.45	Facility		$3,801.89	$3,890.45	$3,890.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,466.84	Professional		$2,818.38	$2,818.38	$4,466.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $4,073.80	Professional		$3,162.28	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,398.83	Facility		$1,513.56	$2,137.96	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $2,454.71	Professional		$1,479.11	$1,621.81	$2,454.71