Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,091.12 / $3,777.51 / $5,902.37	Facility		$2,091.12	$3,777.51	$5,902.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $251.69 / $3,777.51	Professional		$251.69	$251.69	$3,777.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.64 / $1,390.64 / $1,390.64	Facility		$1,390.64	$1,390.64	$1,390.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $656.25	Professional		$525.00	$525.00	$656.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.63 / $407.75 / $634.28	Facility		$366.63	$407.75	$634.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $503.40 / $2,013.60	Professional		$503.40	$503.40	$2,013.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,761.90 / $1,862.58 / $2,013.60	Facility		$1,761.90	$1,862.58	$2,013.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.06 / $755.10 / $2,013.60	Professional		$453.06	$755.10	$2,013.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.63 / $407.75 / $981.63	Facility		$366.63	$407.75	$981.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.23 / $503.40 / $1,384.35	Professional		$478.23	$503.40	$1,384.35
United Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $1,006.80 / $1,006.80	Professional		$226.53	$1,006.80	$1,006.80