Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,513.56	Professional		$831.76	$1,023.29	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,454.71	Facility		$1,348.96	$1,621.81	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $1,905.46	Professional		$1,819.70	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,258.93	Facility		$1,230.27	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,479.11 / $2,041.74	Facility		$501.19	$1,479.11	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $1,737.80	Professional		$1,412.54	$1,621.81	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,445.44	Professional		$30.20	$30.20	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $1,659.59	Facility		$1,621.81	$1,659.59	$1,659.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,905.46	Professional		$1,202.26	$1,230.27	$1,905.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,737.80	Professional		$1,348.96	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,148.15	Facility		$1,023.29	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,174.90	Professional		$707.95	$776.25	$1,174.90