Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.84 / $2,330.67 / $3,959.90	Facility		$499.84	$2,330.67	$3,959.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.40 / $1,131.40 / $2,171.60	Professional		$1,131.40	$1,131.40	$2,171.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.96 / $932.96 / $932.96	Facility		$932.96	$932.96	$932.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,617.90 / $1,617.90 / $1,617.90	Facility		$1,617.90	$1,617.90	$1,617.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $337.73 / $1,087.49	Professional		$337.73	$337.73	$1,087.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.36 / $1,249.59 / $1,350.92	Facility		$517.36	$1,249.59	$1,350.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $759.89 / $759.89	Professional		$303.95	$759.89	$759.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.36 / $1,182.06 / $1,617.90	Facility		$517.36	$1,182.06	$1,617.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $928.76 / $928.76	Professional		$303.95	$928.76	$928.76
United Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $675.46 / $1,019.00	Professional		$129.53	$675.46	$1,019.00