Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $7,244.36	Facility		$2,570.40	$4,677.35	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,995.26	Professional		$478.63	$562.34	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,995.26 / $4,265.80	Facility		$602.56	$1,995.26	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,778.28 / $1,905.46	Professional		$478.63	$1,778.28	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,187.76 / $2,398.83	Facility		$602.56	$2,187.76	$2,398.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,659.59 / $2,884.03	Facility		$478.63	$1,659.59	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $537.03	Professional		$60.26	$60.26	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,202.26 / $1,819.70	Professional		$354.81	$1,202.26	$1,819.70