Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $4,140.60 / $7,035.00	Facility		$888.00	$4,140.60	$7,035.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,010.00 / $2,010.00 / $3,858.00	Professional		$2,010.00	$2,010.00	$3,858.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,657.50 / $1,657.50 / $1,657.50	Facility		$1,657.50	$1,657.50	$1,657.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,874.30 / $2,874.30 / $2,874.30	Facility		$2,874.30	$2,874.30	$2,874.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $1,932.00	Professional		$600.00	$600.00	$1,932.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $2,310.00 / $2,840.21	Facility		$2,100.00	$2,310.00	$2,840.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $1,350.00 / $1,350.00	Professional		$540.00	$1,350.00	$1,350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,657.50 / $2,310.00 / $2,874.30	Facility		$1,657.50	$2,310.00	$2,874.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $1,650.00 / $1,650.00	Professional		$540.00	$1,650.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.70 / $1,200.00 / $1,810.33	Professional		$600.70	$1,200.00	$1,810.33