Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,454.71	Facility		$954.99	$1,698.24	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,862.09	Professional		$512.86	$776.25	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $3,388.44	Facility		$954.99	$1,659.59	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $977.24 / $977.24	Professional		$954.99	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,995.26 / $3,715.35	Facility		$741.31	$1,995.26	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $1,862.09	Facility		$676.08	$1,230.27	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,230.27	Professional		$812.83	$1,000.00	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,388.44	Facility		$1,412.54	$1,862.09	$3,388.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,000.00	Professional		$812.83	$812.83	$1,000.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $954.99	Professional		$398.11	$398.11	$954.99