Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $9,120.11	Facility		$3,235.94	$5,888.44	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $724.44 / $2,511.89	Professional		$707.95	$724.44	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,071.52	Professional		$870.96	$870.96	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $3,388.44	Facility		$446.68	$758.58	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,380.38 / $2,511.89	Professional		$758.58	$1,380.38	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $3,019.95	Facility		$2,754.23	$2,884.03	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $1,698.24	Professional		$1,122.02	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $575.44 / $1,380.38	Facility		$446.68	$575.44	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $758.58	Professional		$707.95	$707.95	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,513.56 / $2,238.72	Professional		$338.84	$1,513.56	$2,238.72