Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.65 / $4,036.41 / $6,857.97	Facility		$865.65	$4,036.41	$6,857.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.37 / $1,959.42 / $1,959.42	Professional		$782.37	$1,959.42	$1,959.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,602.17 / $3,602.17 / $3,602.17	Facility		$3,602.17	$3,602.17	$3,602.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.36 / $1,498.36 / $1,872.96	Professional		$1,498.36	$1,498.36	$1,872.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $845.65 / $845.65 / $845.65	Facility		$845.65	$845.65	$845.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $5,215.80	Professional		$1,303.95	$1,303.95	$5,215.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,047.15 / $3,187.00 / $5,215.80	Facility		$2,047.15	$3,187.00	$5,215.80
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 $845.65 / $845.65 / $2,047.15	Facility		$845.65	$845.65	$2,047.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $756.91 / $1,608.48	Professional		$584.90	$756.91	$1,608.48
United Facility/Professional Professional Modifier Low / Median / High Price $372.16 / $1,169.80 / $1,764.77	Professional		$372.16	$1,169.80	$1,764.77