Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $4,677.35	Facility		$1,659.59	$2,951.21	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $1,258.93	Professional		$309.03	$354.81	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,819.70	Facility		$380.19	$380.19	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,230.27	Professional		$380.19	$380.19	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,412.54 / $1,513.56	Facility		$380.19	$1,412.54	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,047.13 / $1,819.70	Facility		$302.00	$1,047.13	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $758.58 / $1,148.15	Professional		$229.09	$758.58	$1,148.15