Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,606.93 / $10,471.29	Facility		$3,630.78	$6,606.93	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $812.83 / $2,818.38	Professional		$794.33	$812.83	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $4,073.80	Facility		$851.14	$851.14	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,754.23	Professional		$851.14	$851.14	$2,754.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $3,388.44	Facility		$851.14	$3,162.28	$3,388.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,344.23 / $4,073.80	Facility		$676.08	$2,344.23	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,698.24 / $2,570.40	Professional		$512.86	$1,698.24	$2,570.40