Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.05 / $3,576.65 / $6,076.84	Facility		$767.05	$3,576.65	$6,076.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.24 / $1,736.24 / $1,736.24	Professional		$1,736.24	$1,736.24	$1,736.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,431.74 / $1,431.74 / $1,431.74	Facility		$1,431.74	$1,431.74	$1,431.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.55 / $269.55 / $570.54	Professional		$269.55	$269.55	$570.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,482.82 / $2,482.82 / $2,482.82	Facility		$2,482.82	$2,482.82	$2,482.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $518.28 / $1,668.86	Professional		$518.28	$518.28	$1,668.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,813.98 / $1,917.64 / $2,073.12	Facility		$1,813.98	$1,917.64	$2,073.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.45 / $1,166.13 / $1,166.13	Professional		$466.45	$1,166.13	$1,166.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,431.74 / $1,917.64 / $2,482.82	Facility		$1,431.74	$1,917.64	$2,482.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.55 / $1,425.27 / $1,425.27	Professional		$269.55	$1,425.27	$1,425.27
United Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $1,036.56 / $1,563.76	Professional		$518.28	$1,036.56	$1,563.76