Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.69 / $2,791.59 / $4,742.99	Facility		$598.69	$2,791.59	$4,742.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.14 / $1,355.14 / $2,601.06	Professional		$1,355.14	$1,355.14	$2,601.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,117.50 / $1,117.50 / $1,117.50	Facility		$1,117.50	$1,117.50	$1,117.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,937.85 / $1,937.85 / $1,937.85	Facility		$1,937.85	$1,937.85	$1,937.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $404.52 / $1,302.55	Professional		$404.52	$404.52	$1,302.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,311.48 / $1,496.72 / $1,618.08	Facility		$1,311.48	$1,496.72	$1,618.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.07 / $910.17 / $910.17	Professional		$364.07	$910.17	$910.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,117.50 / $1,496.72 / $1,937.85	Facility		$1,117.50	$1,496.72	$1,937.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.07 / $1,112.43 / $1,112.43	Professional		$364.07	$1,112.43	$1,112.43
United Facility/Professional Professional Modifier Low / Median / High Price $328.36 / $809.04 / $1,220.52	Professional		$328.36	$809.04	$1,220.52