Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.52 / $3,443.60 / $5,850.77	Facility		$738.52	$3,443.60	$5,850.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,671.65 / $1,671.65 / $3,208.57	Professional		$1,671.65	$1,671.65	$3,208.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.49 / $1,378.49 / $1,378.49	Facility		$1,378.49	$1,378.49	$1,378.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,390.46 / $2,390.46 / $2,390.46	Facility		$2,390.46	$2,390.46	$2,390.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $499.00 / $1,606.78	Professional		$499.00	$499.00	$1,606.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,746.50 / $1,846.30 / $1,996.00	Facility		$1,746.50	$1,846.30	$1,996.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $1,122.75 / $1,122.75	Professional		$449.10	$1,122.75	$1,122.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,378.49 / $1,846.30 / $2,390.46	Facility		$1,378.49	$1,846.30	$2,390.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $1,372.25 / $1,372.25	Professional		$449.10	$1,372.25	$1,372.25
United Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $998.00 / $1,505.59	Professional		$499.00	$998.00	$1,505.59