Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $7,413.10	Facility		$2,630.27	$4,786.30	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $2,041.74	Professional		$489.78	$588.84	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $2,884.03	Facility		$602.56	$602.56	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,949.84	Professional		$602.56	$602.56	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,238.72 / $2,454.71	Facility		$602.56	$2,238.72	$2,454.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,698.24 / $2,884.03	Facility		$489.78	$1,698.24	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,230.27 / $1,819.70	Professional		$363.08	$1,230.27	$1,819.70