Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,073.80 / $6,456.54	Facility		$2,290.87	$4,073.80	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $512.86 / $1,778.28	Professional		$501.19	$512.86	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $2,511.89	Facility		$524.81	$524.81	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,698.24	Professional		$524.81	$524.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,949.84 / $2,089.30	Facility		$524.81	$1,949.84	$2,089.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,445.44 / $2,511.89	Facility		$426.58	$1,445.44	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,047.13 / $1,584.89	Professional		$316.23	$1,047.13	$1,584.89