Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.07 / $1,090.07 / $1,090.07	Facility		$1,090.07	$1,090.07	$1,090.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $820.16 / $1,090.07	Professional		$656.12	$820.16	$1,090.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.98 / $656.12 / $656.12	Facility		$618.98	$656.12	$656.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Professional		$656.12	$656.12	$656.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $662.69 / $861.17 / $1,090.07	Facility		$662.69	$861.17	$1,090.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $721.73 / $820.15	Professional		$656.12	$721.73	$820.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,008.77	Professional		$30.00	$78.00	$2,008.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $787.35 / $787.35 / $787.35	Professional		$787.35	$787.35	$787.35
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Professional		$656.12	$656.12	$656.12