Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.88 / $2,284.23 / $3,880.97	Facility		$489.88	$2,284.23	$3,880.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.84 / $1,108.84 / $2,128.33	Professional		$1,108.84	$1,108.84	$2,128.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $914.39 / $914.39 / $914.39	Facility		$914.39	$914.39	$914.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,585.66 / $1,585.66 / $1,585.66	Facility		$1,585.66	$1,585.66	$1,585.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $331.00 / $1,065.82	Professional		$331.00	$331.00	$1,065.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.68 / $1,224.70 / $1,324.00	Facility		$1,034.68	$1,224.70	$1,324.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $744.75 / $744.75	Professional		$297.89	$744.75	$744.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $914.39 / $1,224.70 / $1,585.66	Facility		$914.39	$1,224.70	$1,585.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $910.25 / $910.25	Professional		$297.89	$910.25	$910.25
United Facility/Professional Professional Modifier Low / Median / High Price $259.06 / $662.00 / $998.70	Professional		$259.06	$662.00	$998.70