Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,805.02 / $2,051.16	Professional		$1,640.93	$1,805.02	$2,051.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.05 / $1,640.93 / $1,640.93	Facility		$1,548.05	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $2,051.16 / $2,625.48	Facility		$1,640.93	$2,051.16	$2,625.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,051.16	Professional		$1,640.93	$1,640.93	$2,051.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $322.14 / $628.19	Professional		$30.00	$322.14	$628.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,969.11 / $1,969.11 / $1,969.11	Professional		$1,969.11	$1,969.11	$1,969.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93