Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.80 / $858.57 / $1,458.73	Facility		$516.80	$858.57	$1,458.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $539.22	Professional		$416.78	$416.78	$539.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.36 / $1,151.36 / $1,151.36	Facility		$1,151.36	$1,151.36	$1,151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $596.00 / $596.00 / $596.00	Facility		$596.00	$596.00	$596.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $1,342.03	Professional		$416.78	$416.78	$1,342.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.73 / $1,542.09 / $1,667.12	Facility		$1,458.73	$1,542.09	$1,667.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $937.76 / $937.76	Professional		$375.10	$937.76	$937.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $596.00 / $1,458.73 / $1,667.12	Facility		$596.00	$1,458.73	$1,667.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,146.15 / $1,146.15 / $1,146.15	Professional		$1,146.15	$1,146.15	$1,146.15
United Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $928.88 / $1,406.08	Professional		$416.78	$928.88	$1,406.08