Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.14 / $2,775.03 / $4,714.85	Facility		$595.14	$2,775.03	$4,714.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,347.10 / $1,347.10 / $2,585.63	Professional		$1,347.10	$1,347.10	$2,585.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.86 / $1,110.86 / $1,110.86	Facility		$1,110.86	$1,110.86	$1,110.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,926.35 / $1,926.35 / $1,926.35	Facility		$1,926.35	$1,926.35	$1,926.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $402.12 / $1,294.83	Professional		$402.12	$402.12	$1,294.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,407.42 / $1,548.16 / $2,593.87	Facility		$1,407.42	$1,548.16	$2,593.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.91 / $904.77 / $904.77	Professional		$361.91	$904.77	$904.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,110.86 / $1,548.16 / $2,593.87	Facility		$1,110.86	$1,548.16	$2,593.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $1,105.83 / $1,105.83	Professional		$402.12	$1,105.83	$1,105.83
United Facility/Professional Professional Modifier Low / Median / High Price $548.60 / $992.90 / $1,213.28	Professional		$548.60	$992.90	$1,213.28