Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,380.38	Professional		$776.25	$1,000.00	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,630.27	Facility		$1,288.25	$1,584.89	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $1,819.70	Professional		$1,737.80	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,071.52	Facility		$933.25	$933.25	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Professional		$794.33	$794.33	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,380.38 / $1,778.28	Facility		$478.63	$1,380.38	$1,778.28
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 / $1,819.70	Professional		$1,174.90	$1,174.90	$1,819.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $1,659.59	Professional		$1,288.25	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $977.24 / $1,122.02	Facility		$389.05	$977.24	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $1,122.02	Professional		$691.83	$741.31	$1,122.02