Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $4,677.35	Professional		$2,344.23	$3,388.44	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,248.07 / $8,128.31	Facility		$3,981.07	$5,248.07	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,309.57 / $6,309.57	Professional		$5,888.44	$6,309.57	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,801.89 / $3,801.89	Facility		$3,715.35	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,801.89	Professional		$2,754.23	$2,754.23	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,677.35 / $12,302.69	Facility		$1,445.44	$4,677.35	$12,302.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $5,754.40	Professional		$4,677.35	$5,370.32	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $4,786.30	Professional		$30.20	$30.20	$4,786.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,495.41 / $5,495.41	Facility		$5,248.07	$5,495.41	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $6,309.57	Professional		$3,981.07	$3,981.07	$6,309.57
Select Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,754.40 / $5,754.40	Professional		$4,466.84	$5,754.40	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $3,388.44	Facility		$2,691.53	$2,951.21	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $3,467.37	Professional		$2,041.74	$2,238.72	$3,467.37