Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,165.95 / $9,549.93	Facility		$3,388.44	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $758.58 / $2,630.27	Professional		$12.88	$758.58	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $5,623.41	Facility		$794.33	$794.33	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,344.23 / $2,511.89	Professional		$758.58	$2,344.23	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,884.03 / $3,162.28	Facility		$794.33	$2,884.03	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,187.76 / $3,801.89	Facility		$630.96	$2,187.76	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,584.89 / $2,398.83	Professional		$467.74	$1,584.89	$2,398.83