Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $5,888.44	Facility		$2,089.30	$3,801.89	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $467.74 / $1,621.81	Professional		$165.96	$467.74	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $2,290.87	Facility		$478.63	$478.63	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,548.82	Professional		$478.63	$478.63	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,778.28 / $1,949.84	Facility		$478.63	$1,778.28	$1,949.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,318.26 / $2,290.87	Facility		$389.05	$1,318.26	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $416.87 / $630.96	Professional		$123.03	$416.87	$630.96