Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $8,128.31	Facility		$2,884.03	$5,128.61	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $2,238.72	Professional		$537.03	$616.60	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $954.99	Professional		$758.58	$758.58	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $2,951.21	Facility		$501.19	$660.69	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,137.96	Professional		$660.69	$660.69	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $2,630.27	Facility		$2,454.71	$2,570.40	$2,630.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $1,479.11	Professional		$1,000.00	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $549.54 / $1,202.26	Facility		$446.68	$549.54	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $660.69	Professional		$630.96	$630.96	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,318.26 / $1,995.26	Professional		$295.12	$1,318.26	$1,995.26