Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $2,290.87	Professional		$549.54	$660.69	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $3,090.30	Facility		$676.08	$676.08	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $2,187.76	Professional		$676.08	$676.08	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $2,754.23	Facility		$676.08	$2,511.89	$2,754.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,905.46 / $3,235.94	Facility		$549.54	$1,905.46	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,348.96 / $2,041.74	Professional		$407.38	$1,348.96	$2,041.74