Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.66 / $4,031.77 / $6,850.10	Facility		$864.66	$4,031.77	$6,850.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,957.17 / $1,957.17 / $3,756.60	Professional		$1,957.17	$1,957.17	$3,756.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,613.94 / $1,613.94 / $1,613.94	Facility		$1,613.94	$1,613.94	$1,613.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.23 / $294.23 / $662.24	Professional		$294.23	$294.23	$662.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,798.75 / $2,798.75 / $2,798.75	Facility		$2,798.75	$2,798.75	$2,798.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $584.23 / $1,881.22	Professional		$584.23	$584.23	$1,881.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,044.81 / $2,161.65 / $2,336.92	Facility		$2,044.81	$2,161.65	$2,336.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.80 / $1,314.52 / $1,314.52	Professional		$525.80	$1,314.52	$1,314.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,613.94 / $2,161.65 / $2,798.75	Facility		$1,613.94	$2,161.65	$2,798.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.23 / $662.24 / $1,606.63	Professional		$294.23	$662.24	$1,606.63
United Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $1,168.46 / $1,762.74	Professional		$584.23	$1,168.46	$1,762.74