Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.25 / $3,642.82 / $6,189.26	Facility		$781.25	$3,642.82	$6,189.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.36 / $1,768.36 / $3,394.20	Professional		$1,768.36	$1,768.36	$3,394.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,458.26 / $1,458.26 / $1,458.26	Facility		$1,458.26	$1,458.26	$1,458.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,528.75 / $2,528.75 / $2,528.75	Facility		$2,528.75	$2,528.75	$2,528.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $527.87 / $1,699.74	Professional		$527.87	$527.87	$1,699.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,847.55 / $1,953.12 / $2,111.48	Facility		$1,847.55	$1,953.12	$2,111.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $1,187.71 / $1,187.71	Professional		$475.08	$1,187.71	$1,187.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,458.26 / $1,953.12 / $2,528.75	Facility		$1,458.26	$1,953.12	$2,528.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $1,451.64 / $1,451.64	Professional		$475.08	$1,451.64	$1,451.64
United Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $1,055.74 / $1,592.69	Professional		$527.87	$1,055.74	$1,592.69