Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,606.93 / $10,232.93	Facility		$3,630.78	$6,606.93	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $2,818.38	Professional		$676.08	$794.33	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,202.26	Professional		$954.99	$954.99	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $3,801.89	Facility		$501.19	$831.76	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $2,691.53	Professional		$831.76	$831.76	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $3,388.44	Facility		$3,090.30	$3,235.94	$3,388.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $1,905.46	Professional		$1,258.93	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $977.24	Facility		$501.19	$501.19	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $831.76	Professional		$794.33	$794.33	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,698.24 / $2,511.89	Professional		$380.19	$1,698.24	$2,511.89