Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $4,677.35	Facility		$1,659.59	$3,019.95	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $363.08	Professional		$186.21	$190.55	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,737.80 / $4,466.84	Facility		$380.19	$1,737.80	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,230.27 / $1,230.27	Professional		$186.21	$1,230.27	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,412.54 / $1,548.82	Facility		$380.19	$1,412.54	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,071.52 / $1,819.70	Facility		$154.88	$1,071.52	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $380.19 / $575.44	Professional		$114.82	$380.19	$575.44