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 $467.74 / $467.74 / $1,621.81	Professional		$467.74	$467.74	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $2,344.23	Facility		$489.78	$489.78	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,548.82	Professional		$489.78	$489.78	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,819.70 / $1,949.84	Facility		$489.78	$1,819.70	$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 / $1,348.96 / $2,344.23	Facility		$389.05	$1,348.96	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $977.24 / $1,479.11	Professional		$295.12	$977.24	$1,479.11