Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $3,019.95	Facility		$1,071.52	$1,949.84	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $831.76	Professional		$199.53	$239.88	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $1,202.26	Facility		$251.19	$251.19	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $794.33	Professional		$251.19	$251.19	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $912.01 / $1,000.00	Facility		$251.19	$912.01	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $691.83 / $1,202.26	Facility		$199.53	$691.83	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $501.19 / $741.31	Professional		$147.91	$501.19	$741.31