Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,265.80 / $7,413.10	Facility		$891.25	$4,265.80	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,995.26	Professional		$489.78	$575.44	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $2,691.53	Facility		$602.56	$602.56	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $1,949.84	Professional		$575.44	$602.56	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,238.72 / $2,398.83	Facility		$602.56	$2,238.72	$2,398.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,659.59 / $2,884.03	Facility		$478.63	$1,659.59	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $537.03	Professional		$302.00	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,202.26 / $1,819.70	Professional		$363.08	$1,202.26	$1,819.70