Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,380.38	Professional		$691.83	$1,000.00	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,630.27	Facility		$1,318.26	$1,584.89	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $1,862.09	Professional		$1,737.80	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,096.48	Facility		$977.24	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Professional		$812.83	$812.83	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,318.26 / $1,737.80	Facility		$446.68	$1,318.26	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $1,659.59	Professional		$1,288.25	$1,584.89	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,412.54	Professional		$30.20	$30.20	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $1,584.89	Facility		$1,548.82	$1,584.89	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,862.09	Professional		$1,174.90	$1,174.90	$1,862.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,659.59	Professional		$1,318.26	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,047.13	Facility		$660.69	$912.01	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $1,071.52	Professional		$630.96	$691.83	$1,071.52