Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.60 / $2,208.32 / $3,752.00	Facility		$473.60	$2,208.32	$3,752.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.00 / $1,072.00 / $2,057.60	Professional		$1,072.00	$1,072.00	$2,057.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $884.00 / $884.00	Facility		$884.00	$884.00	$884.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,532.96 / $1,532.96 / $1,532.96	Facility		$1,532.96	$1,532.96	$1,532.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $1,030.40	Professional		$320.00	$320.00	$1,030.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,184.00 / $1,280.00	Facility		$1,120.00	$1,184.00	$1,280.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $720.00 / $720.00	Professional		$288.00	$720.00	$720.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $1,184.00 / $1,532.96	Facility		$884.00	$1,184.00	$1,532.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $880.00 / $880.00	Professional		$288.00	$880.00	$880.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $640.00 / $965.51	Professional		$320.00	$640.00	$965.51