Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,090.30 / $5,370.32	Facility		$645.65	$3,090.30	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $1,445.44	Professional		$354.81	$426.58	$1,445.44
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 / $1,949.84	Facility		$436.52	$436.52	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,412.54	Professional		$436.52	$436.52	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,621.81 / $1,737.80	Facility		$436.52	$1,621.81	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,202.26 / $2,089.30	Facility		$346.74	$1,202.26	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $870.96 / $1,318.26	Professional		$263.03	$870.96	$1,318.26