Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,380.38 / $1,995.26	Facility		$758.58	$1,380.38	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,479.11	Professional		$416.87	$616.60	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,412.54 / $2,754.23	Facility		$758.58	$1,412.54	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $776.25 / $776.25	Professional		$758.58	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,479.11	Facility		$758.58	$758.58	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $977.24	Professional		$707.95	$794.33	$977.24
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 $1,148.15 / $1,479.11 / $2,754.23	Facility		$1,148.15	$1,479.11	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $794.33	Professional		$645.65	$645.65	$794.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Professional		$316.23	$316.23	$758.58