Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $9,120.11	Facility		$3,235.94	$5,888.44	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $2,511.89	Professional		$602.56	$707.95	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $3,630.78	Facility		$758.58	$758.58	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $2,398.83	Professional		$758.58	$758.58	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $3,019.95	Facility		$2,630.27	$2,754.23	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,089.30 / $3,630.78	Facility		$602.56	$2,089.30	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,513.56 / $2,238.72	Professional		$446.68	$1,513.56	$2,238.72