Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.38 / $2,239.92 / $3,805.69	Facility		$480.38	$2,239.92	$3,805.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.33 / $1,087.33 / $2,087.05	Professional		$1,087.33	$1,087.33	$2,087.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.67 / $896.67 / $896.67	Facility		$896.67	$896.67	$896.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $163.72 / $163.72	Professional		$163.72	$163.72	$163.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.90 / $1,554.90 / $1,554.90	Facility		$1,554.90	$1,554.90	$1,554.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $1,045.15	Professional		$324.58	$324.58	$1,045.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,136.03 / $1,200.95 / $1,298.32	Facility		$1,136.03	$1,200.95	$1,298.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $730.31 / $730.31	Professional		$292.12	$730.31	$730.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.67 / $1,200.95 / $1,554.90	Facility		$896.67	$1,200.95	$1,554.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $892.60 / $892.60	Professional		$163.72	$892.60	$892.60
United Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $649.16 / $979.33	Professional		$324.58	$649.16	$979.33