Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.77 / $2,330.76 / $6,432.90	Facility		$823.77	$2,330.76	$6,432.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,864.61 / $1,864.61 / $3,578.94	Professional		$1,864.61	$1,864.61	$3,578.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,537.61 / $1,537.61 / $1,537.61	Facility		$1,537.61	$1,537.61	$1,537.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,666.39 / $2,666.39 / $2,666.39	Facility		$2,666.39	$2,666.39	$2,666.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $1,792.25	Professional		$556.60	$556.60	$1,792.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,948.10 / $2,059.42 / $2,226.40	Facility		$1,948.10	$2,059.42	$2,226.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $1,252.34 / $1,252.34	Professional		$500.94	$1,252.34	$1,252.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,537.61 / $2,059.42 / $2,666.39	Facility		$1,537.61	$2,059.42	$2,666.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $1,530.65 / $1,530.65	Professional		$500.94	$1,530.65	$1,530.65
United Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $1,113.20 / $1,679.38	Professional		$556.60	$1,113.20	$1,679.38