Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,370.32 / $8,511.38	Facility		$2,951.21	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $2,290.87	Professional		$562.34	$676.08	$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 $691.83 / $691.83 / $3,311.31	Facility		$691.83	$691.83	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $2,238.72	Professional		$691.83	$691.83	$2,238.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,570.40 / $2,754.23	Facility		$691.83	$2,570.40	$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 / $3,311.31	Facility		$549.54	$1,905.46	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,380.38 / $2,089.30	Professional		$416.87	$1,380.38	$2,089.30