Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $1,451.04	Facility		$1,440.00	$1,440.00	$1,451.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $72.50 / $1,968.00	Professional		$50.50	$72.50	$1,968.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $750.00 / $795.00	Professional		$600.00	$750.00	$795.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $984.00 / $2,080.00	Professional		$765.00	$984.00	$2,080.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,351.50 / $1,530.00 / $1,837.50	Professional		$1,351.50	$1,530.00	$1,837.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,320.32 / $1,800.00	Professional		$750.00	$1,320.32	$1,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $73.34 / $120.00	Professional		$72.00	$73.34	$120.00