Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.30 / $2,785.18 / $4,732.10	Facility		$597.30	$2,785.18	$4,732.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.03 / $1,352.03 / $2,595.08	Professional		$1,352.03	$1,352.03	$2,595.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,114.90 / $1,114.90 / $1,114.90	Facility		$1,114.90	$1,114.90	$1,114.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,933.40 / $1,933.40 / $1,933.40	Facility		$1,933.40	$1,933.40	$1,933.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $403.59 / $1,299.56	Professional		$403.59	$403.59	$1,299.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,203.64 / $1,493.28 / $1,614.36	Facility		$1,203.64	$1,493.28	$1,614.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.23 / $908.08 / $908.08	Professional		$363.23	$908.08	$908.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,114.90 / $1,424.89 / $1,933.40	Facility		$1,114.90	$1,424.89	$1,933.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.23 / $1,109.86 / $1,109.86	Professional		$363.23	$1,109.86	$1,109.86
United Facility/Professional Professional Modifier Low / Median / High Price $301.36 / $807.18 / $1,217.72	Professional		$301.36	$807.18	$1,217.72