Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,715.35	Professional		$1,949.84	$2,630.27	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $6,309.57	Facility		$3,090.30	$4,073.80	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,897.79 / $4,897.79	Professional		$4,570.88	$4,897.79	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $3,090.30	Facility		$2,691.53	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,090.30	Professional		$2,238.72	$2,238.72	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,168.69 / $5,128.61	Facility		$1,258.93	$4,168.69	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $4,365.16	Professional		$3,630.78	$4,168.69	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $3,715.35	Professional		$30.20	$30.20	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,168.69 / $4,168.69	Facility		$4,073.80	$4,168.69	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,162.28 / $4,897.79	Professional		$3,090.30	$3,162.28	$4,897.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $4,570.88	Professional		$3,467.37	$4,365.16	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $2,951.21	Facility		$2,290.87	$2,630.27	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $3,019.95	Professional		$1,819.70	$1,949.84	$3,019.95