Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $2,357.94	Facility		$2,340.00	$2,340.00	$2,357.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $72.50 / $3,042.00	Professional		$38.00	$72.50	$3,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,250.00 / $1,325.00	Professional		$1,000.00	$1,250.00	$1,325.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,599.00 / $3,380.00	Professional		$1,275.00	$1,599.00	$3,380.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,252.50 / $2,550.00 / $3,062.50	Professional		$2,252.50	$2,550.00	$3,062.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $2,145.52 / $3,000.00	Professional		$1,250.00	$2,145.52	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $90.00 / $120.00	Professional		$70.00	$90.00	$120.00