Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,623.41 / $8,912.51	Facility		$3,090.30	$5,623.41	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $724.44	Professional		$691.83	$691.83	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $5,128.61	Facility		$724.44	$724.44	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,137.96 / $2,344.23	Professional		$691.83	$2,137.96	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $2,884.03	Facility		$724.44	$2,691.53	$2,884.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,995.26 / $3,467.37	Facility		$575.44	$1,995.26	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,445.44 / $2,187.76	Professional		$436.52	$1,445.44	$2,187.76