Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $870.96	Professional		$389.05	$630.96	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,513.56	Facility		$741.31	$977.24	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,174.90	Professional		$1,096.48	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $645.65	Facility		$537.03	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $645.65	Professional		$478.63	$478.63	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $870.96 / $2,290.87	Facility		$263.03	$870.96	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,047.13	Professional		$758.58	$1,000.00	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $891.25	Professional		$30.20	$30.20	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,023.29	Facility		$977.24	$1,023.29	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $1,174.90	Professional		$741.31	$776.25	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,096.48	Professional		$831.76	$1,047.13	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $602.56	Facility		$363.08	$537.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $616.60	Professional		$371.54	$407.38	$616.60