Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,073.80 / $6,456.54	Facility		$2,290.87	$4,073.80	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $512.86	Professional		$426.58	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $758.58	Professional		$602.56	$602.56	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $2,344.23	Facility		$316.23	$524.81	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,698.24	Professional		$524.81	$524.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $2,089.30	Facility		$1,862.09	$1,949.84	$2,089.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,174.90	Professional		$794.33	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $407.38 / $954.99	Facility		$316.23	$407.38	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Professional		$501.19	$501.19	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,047.13 / $1,584.89	Professional		$234.42	$1,047.13	$1,584.89