Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,162.28 / $5,011.87	Facility		$1,778.28	$3,162.28	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $398.11 / $1,348.96	Professional		$134.90	$398.11	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,819.70 / $4,786.30	Facility		$407.38	$1,819.70	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,318.26 / $1,318.26	Professional		$134.90	$1,318.26	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,513.56 / $1,621.81	Facility		$407.38	$1,513.56	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,122.02 / $1,949.84	Facility		$323.59	$1,122.02	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $147.91	Professional		$60.26	$60.26	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $331.13 / $501.19	Professional		$100.00	$331.13	$501.19