Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $2,634.12 / $4,475.45	Facility		$564.91	$2,634.12	$4,475.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.70 / $1,278.70 / $2,454.33	Professional		$1,278.70	$1,278.70	$2,454.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,054.47 / $1,054.47 / $1,054.47	Facility		$1,054.47	$1,054.47	$1,054.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,828.54 / $1,828.54 / $1,828.54	Facility		$1,828.54	$1,828.54	$1,828.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $381.70 / $1,229.07	Professional		$381.70	$381.70	$1,229.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $605.91 / $1,412.29 / $1,526.80	Facility		$605.91	$1,412.29	$1,526.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $858.83 / $858.83	Professional		$343.53	$858.83	$858.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $605.91 / $1,335.95 / $1,828.54	Facility		$605.91	$1,335.95	$1,828.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $1,049.68 / $1,049.68	Professional		$343.53	$1,049.68	$1,049.68
United Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $763.40 / $1,151.67	Professional		$151.71	$763.40	$1,151.67