Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,778.28	Facility		$1,258.93	$1,258.93	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,348.96	Professional		$380.19	$562.34	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $2,511.89	Facility		$691.83	$1,288.25	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $707.95	Professional		$691.83	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,445.44 / $2,691.53	Facility		$537.03	$1,445.44	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,348.96	Facility		$691.83	$691.83	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $870.96	Professional		$676.08	$724.44	$870.96
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 $1,047.13 / $1,348.96 / $2,511.89	Facility		$1,047.13	$1,348.96	$2,511.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $724.44	Professional		$588.84	$588.84	$724.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $691.83	Professional		$288.40	$288.40	$691.83