Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,290.87	Professional		$1,202.26	$1,621.81	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,981.07	Facility		$1,905.46	$2,570.40	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,019.95	Professional		$2,884.03	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,778.28	Facility		$1,698.24	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,778.28	Professional		$1,318.26	$1,318.26	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,630.27 / $2,818.38	Facility		$794.33	$2,630.27	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,754.23	Professional		$2,238.72	$2,630.27	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,344.23	Professional		$30.20	$30.20	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $2,630.27	Facility		$2,570.40	$2,630.27	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $3,019.95	Professional		$1,905.46	$1,995.26	$3,019.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $2,818.38	Professional		$2,137.96	$2,754.23	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $1,862.09	Facility		$1,621.81	$1,862.09	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,230.27 / $1,862.09	Professional		$1,148.15	$1,230.27	$1,862.09