Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,162.28 / $5,370.32	Facility		$645.65	$3,162.28	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $1,479.11	Professional		$354.81	$426.58	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $1,995.26	Facility		$436.52	$436.52	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $1,412.54	Professional		$426.58	$436.52	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,621.81 / $1,778.28	Facility		$436.52	$1,621.81	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $2,089.30	Facility		$354.81	$1,202.26	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $870.96 / $1,318.26	Professional		$177.83	$870.96	$1,318.26