Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,981.07	Facility		$2,754.23	$2,754.23	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $2,951.21	Professional		$831.76	$1,230.27	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $5,495.41	Facility		$1,513.56	$2,818.38	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $1,548.82	Professional		$1,513.56	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,162.28 / $5,888.44	Facility		$1,174.90	$3,162.28	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,951.21	Facility		$1,513.56	$1,513.56	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $1,819.70	Professional		$1,479.11	$1,584.89	$1,819.70
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 $2,290.87 / $2,818.38 / $5,495.41	Facility		$2,290.87	$2,818.38	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,584.89	Professional		$1,288.25	$1,288.25	$1,584.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,513.56	Professional		$630.96	$630.96	$1,513.56