Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $2,589.61 / $4,399.81	Facility		$555.37	$2,589.61	$4,399.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.08 / $1,257.08 / $2,412.86	Professional		$1,257.08	$1,257.08	$2,412.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.61 / $1,036.61 / $1,036.61	Facility		$1,036.61	$1,036.61	$1,036.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.14 / $189.14 / $189.14	Professional		$189.14	$189.14	$189.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,797.64 / $1,797.64 / $1,797.64	Facility		$1,797.64	$1,797.64	$1,797.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $1,208.31	Professional		$375.25	$375.25	$1,208.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.38 / $1,388.43 / $1,501.00	Facility		$1,313.38	$1,388.43	$1,501.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $844.31 / $844.31	Professional		$337.73	$844.31	$844.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,036.61 / $1,388.43 / $1,797.64	Facility		$1,036.61	$1,388.43	$1,797.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.14 / $1,031.94 / $1,031.94	Professional		$189.14	$1,031.94	$1,031.94
United Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $1,132.21 / $1,132.21	Professional		$375.25	$1,132.21	$1,132.21