Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.65 / $865.65 / $865.65	Facility		$865.65	$865.65	$865.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.65 / $1,959.42 / $2,162.11	Professional		$865.65	$1,959.42	$2,162.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,615.81 / $1,615.81 / $1,615.81	Facility		$1,615.81	$1,615.81	$1,615.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.86 / $671.95 / $907.60	Professional		$405.86	$671.95	$907.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,057.92 / $2,057.92 / $2,057.92	Facility		$2,057.92	$2,057.92	$2,057.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $1,883.38	Professional		$584.90	$584.90	$1,883.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,047.15 / $2,164.13 / $2,339.60	Facility		$2,047.15	$2,164.13	$2,339.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $1,203.50 / $2,888.40	Professional		$526.41	$1,203.50	$2,888.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,057.92 / $2,057.92 / $2,057.92	Facility		$2,057.92	$2,057.92	$2,057.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $762.21 / $1,608.48	Professional		$584.90	$762.21	$1,608.48
United Facility/Professional Professional Modifier Low / Median / High Price $361.05 / $1,169.80 / $1,764.77	Professional		$361.05	$1,169.80	$1,764.77