Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,884.03 / $4,897.79	Facility		$602.56	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $1,348.96	Professional		$323.59	$389.05	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,819.70	Facility		$407.38	$407.38	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $1,288.25	Professional		$407.38	$407.38	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,479.11 / $1,621.81	Facility		$407.38	$1,479.11	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,122.02 / $1,949.84	Facility		$323.59	$1,122.02	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $812.83 / $1,230.27	Professional		$239.88	$812.83	$1,230.27