Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $5,495.41	Facility		$1,949.84	$3,548.13	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $1,513.56	Professional		$363.08	$426.58	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $2,137.96	Facility		$446.68	$446.68	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,445.44	Professional		$446.68	$446.68	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,659.59 / $1,819.70	Facility		$446.68	$1,659.59	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,258.93 / $2,137.96	Facility		$363.08	$1,258.93	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $912.01 / $1,348.96	Professional		$269.15	$912.01	$1,348.96