Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,388.44	Facility		$2,344.23	$2,344.23	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,570.40	Professional		$707.95	$1,047.13	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $4,677.35	Facility		$1,318.26	$2,454.71	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,691.53 / $5,128.61	Facility		$1,023.29	$2,691.53	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,570.40	Facility		$1,318.26	$1,318.26	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,548.82	Professional		$1,230.27	$1,380.38	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $4,677.35	Facility		$1,949.84	$2,454.71	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,380.38	Professional		$1,122.02	$1,122.02	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,318.26	Professional		$549.54	$549.54	$1,318.26