Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $7,079.46	Facility		$2,511.89	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $1,949.84	Professional		$549.54	$562.34	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $2,818.38	Facility		$588.84	$588.84	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,862.09	Professional		$588.84	$588.84	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,187.76 / $2,344.23	Facility		$588.84	$2,187.76	$2,344.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,621.81 / $2,818.38	Facility		$467.74	$1,621.81	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,174.90 / $1,778.28	Professional		$354.81	$1,174.90	$1,778.28