Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,862.09	Facility		$1,288.25	$1,288.25	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,412.54	Professional		$389.05	$588.84	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,348.96 / $2,570.40	Facility		$724.44	$1,348.96	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $741.31	Professional		$724.44	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,513.56 / $2,818.38	Facility		$562.34	$1,513.56	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,412.54	Facility		$724.44	$724.44	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $891.25	Professional		$676.08	$758.58	$891.25
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 $1,071.52 / $1,412.54 / $2,570.40	Facility		$1,071.52	$1,412.54	$2,570.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $758.58	Professional		$616.60	$616.60	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $724.44	Professional		$302.00	$302.00	$724.44