Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.21 / $2,010.68 / $3,416.21	Facility		$431.21	$2,010.68	$3,416.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.06 / $976.06 / $1,873.44	Professional		$976.06	$976.06	$1,873.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.87 / $804.87 / $804.87	Facility		$804.87	$804.87	$804.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,395.77 / $1,395.77 / $1,395.77	Facility		$1,395.77	$1,395.77	$1,395.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $291.36 / $938.18	Professional		$262.22	$291.36	$938.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,019.76 / $1,078.03 / $1,379.67	Facility		$1,019.76	$1,078.03	$1,379.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $655.56 / $655.56	Professional		$262.22	$655.56	$655.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $804.87 / $1,121.74 / $1,395.77	Facility		$804.87	$1,121.74	$1,395.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $801.24 / $801.24	Professional		$262.22	$801.24	$801.24
United Facility/Professional Professional Modifier Low / Median / High Price $291.80 / $582.72 / $879.09	Professional		$291.80	$582.72	$879.09