Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.24 / $1,542.24 / $1,542.24	Facility		$1,542.24	$1,542.24	$1,542.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,643.85 / $1,868.01	Professional		$1,494.41	$1,643.85	$1,868.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,494.41 / $1,494.41	Facility		$1,409.82	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,027.20 / $1,643.85 / $2,104.13	Facility		$1,027.20	$1,643.85	$2,104.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,868.01	Professional		$1,494.41	$1,494.41	$1,868.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $2,615.11	Professional		$30.00	$55.00	$2,615.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,793.29 / $1,793.29 / $1,793.29	Professional		$1,793.29	$1,793.29	$1,793.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41