Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,165.95 / $9,772.37	Facility		$3,467.37	$6,165.95	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $2,691.53	Professional		$645.65	$741.31	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $3,548.13	Facility		$794.33	$794.33	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $2,570.40	Professional		$794.33	$794.33	$2,570.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,951.21 / $3,162.28	Facility		$794.33	$2,951.21	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,187.76 / $3,801.89	Facility		$630.96	$2,187.76	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,584.89 / $2,398.83	Professional		$478.63	$1,584.89	$2,398.83