Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.20 / $3,036.44 / $5,159.00	Facility		$651.20	$3,036.44	$5,159.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,474.00 / $1,474.00 / $2,829.20	Professional		$1,474.00	$1,474.00	$2,829.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.50 / $1,215.50 / $1,215.50	Facility		$1,215.50	$1,215.50	$1,215.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,107.82 / $2,107.82 / $2,107.82	Facility		$2,107.82	$2,107.82	$2,107.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $1,416.80	Professional		$440.00	$440.00	$1,416.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.76 / $1,628.00 / $1,760.00	Facility		$705.76	$1,628.00	$1,760.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $990.00 / $990.00	Professional		$396.00	$990.00	$990.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.76 / $1,540.00 / $2,107.82	Facility		$705.76	$1,540.00	$2,107.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $1,210.00 / $1,210.00	Professional		$396.00	$1,210.00	$1,210.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $880.00 / $1,327.57	Professional		$176.70	$880.00	$1,327.57